Individual provider Active NPI

Carla Hobbs Pruitt, M.ED, CCC-SLP

  • Speech-Language Pathologist
  • Bogart, GA
National Provider Identifier
1710272331
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP004360 Issued in GA
Practice address
130 Buttercup LN
Bogart, GA 30622-1622
Phone
(706) 247-4277
Fax
(800) 915-0219
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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 SLP004360 GA Primary

Addresses

Primary practice location

130 Buttercup LN
Bogart, GA 30622-1622

Mailing address

130 Buttercup LN
Bogart, GA 30622-1622
Phone (706) 247-4277

Other identifiers 1

IdentifierTypeStateIssuer
003110429EMedicaidGA

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SLP004360GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joyful Speech, LLC CurrentSince Oct 5, 2021 Accepting new patients
Joyful Speech, LLC Speech-Language Pathologist CurrentSince Oct 5, 2021 Accepting new patients

Organizations & group practices 2

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1710272331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BUTTERCUP LN",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306221622",
            "telephone_number": "706-247-4277",
            "fax_number": "800-915-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BUTTERCUP LN",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306221622",
            "telephone_number": "706-247-4277",
            "fax_number": "800-915-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "CARLA",
        "middle_name": "HOBBS",
        "name_prefix": "Mrs.",
        "credential": "M.ED, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003110429E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.