Individual provider Active NPI

Lisa Hartsfield Werginz, CCC / SLP

  • Speech-Language Pathologist
  • Newnan, GA
National Provider Identifier
1649687468
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP008522 Issued in GA
Practice address
2959 Sharpsburg McCullum Rd
Building C, Suite C
Newnan, GA 30265-2297
Phone
(770) 683-0250
Fax
(770) 683-4250
NPI assigned
Jul 14, 2014
Last updated
Jul 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP008522 GA Primary

Addresses

Primary practice location

2959 Sharpsburg McCullum Rd
Building C, Suite C
Newnan, GA 30265-2297

Mailing address

2959 Sharpsburg McCullum Rd
Building C, Suite C
Newnan, GA 30265-2297
Phone (770) 683-0250

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

State licenses

LicenseStateTypeSpecialty
SLP008522GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Interactiv Children's Therapy Services, Inc. Speech-Language Pathologist Past Accepting new patients

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1649687468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 SHARPSBURG MCCULLUM RD",
            "address_2": "BUILDING C, SUITE C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652297",
            "telephone_number": "770-683-0250",
            "fax_number": "770-683-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 SHARPSBURG MCCULLUM RD",
            "address_2": "BUILDING C, SUITE C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652297",
            "telephone_number": "770-683-0250",
            "fax_number": "770-683-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERGINZ",
        "first_name": "LISA",
        "middle_name": "HARTSFIELD",
        "credential": "CCC / SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.