Active NPI
Lauren Marie Peet, CCC-SLP
- Speech-Language Pathologist
- Woodstock, GA
National Provider Identifier
1639750516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP011459
- Practice address
- 3217 S Cherokee LN Ste 130140
Woodstock, GA 30188-7026 - Phone
- (678) 447-1617
- Fax
- (678) 735-7505
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- No
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 | SLP011459 | GA | Primary |
Addresses
Primary practice location
3217 S Cherokee LN Ste 130140
Woodstock, GA 30188-7026
Mailing address
10917 Highway 92 Ste 130&140
Woodstock, GA 30188-6329
Phone (678) 447-1617
Other practice location 1
10917 Highway 92
Woodstock, GA 30188-6329
Phone (678) 640-6052
Other practice location 2
2360 Murphy Blvd
Gainesville, GA 30504-6002
Phone (770) 535-8372
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP011459 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisu of Georgia, Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2360 Murphy Blvd
Gainesville, GA 30504
Phone (770) 535-8372
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Gainesville, GA
- NPI 1043385057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1639750516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10917 HIGHWAY 92 STE 130&140",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301886329",
"telephone_number": "678-447-1617",
"fax_number": "678-735-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 S CHEROKEE LN STE 130140",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301887026",
"telephone_number": "678-447-1617",
"fax_number": "678-735-7505"
}
],
"practiceLocations": [
{
"address_1": "10917 Highway 92",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "GA",
"postal_code": "301886329",
"country_code": "US",
"telephone_number": "678-640-6052",
"fax_number": "678-735-7505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2360 Murphy Blvd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305046002",
"country_code": "US",
"telephone_number": "770-535-8372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEET",
"first_name": "LAUREN",
"middle_name": "MARIE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP011459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.