Active NPI
Kelly Paul, CCC-SLP
- Speech-Language Pathologist
- Pooler, GA
National Provider Identifier
1548903867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 110 Pipemakers Cir Ste 115
Pooler, GA 31322-4168 - Phone
- (714) 675-4632
- NPI assigned
- Apr 14, 2022
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | GA | Primary |
Addresses
Primary practice location
110 Pipemakers Cir Ste 115
Pooler, GA 31322-4168
Mailing address
110 Pipemakers Cir Ste 115
Pooler, GA 31322-4168
Phone (912) 988-1526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chatterbox Pediatric Therapy | Multi-Specialty | Current | Accepting new patients |
Locations
110 Pipemakers Cir
Ste 115
Pooler, GA 31322
Phone (912) 988-1526
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1548903867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PIPEMAKERS CIR STE 115",
"city": "POOLER",
"state": "GA",
"postal_code": "313224168",
"telephone_number": "912-988-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PIPEMAKERS CIR STE 115",
"city": "POOLER",
"state": "GA",
"postal_code": "313224168",
"telephone_number": "714-675-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "KELLY",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-14",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.