Individual provider Active NPI

Loraine Judith Williammee, CCC-SLP

  • Speech-Language Pathologist
  • Marietta, GA
National Provider Identifier
1861939860
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006679 Issued in GA
Practice address
1708 Holcomb Lake Rd
Marietta, GA 30062-2092
Phone
(770) 693-1445
NPI assigned
Jan 27, 2017
Last updated
Jan 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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 SLP006679 GA Primary

Addresses

Primary practice location

1708 Holcomb Lake Rd
Marietta, GA 30062-2092

Mailing address

1708 Holcomb Lake Rd
Marietta, GA 30062-2092
Phone (770) 693-1445

Other names 1

  • Loraine Judith Kozichousky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170502000433 GA Practitioner - Qualified Speech Language Pathologist 7113204082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Transperfect Health CorpGroup PAC ID 3173982287, 33 clinicians

Practice addresses (Care Compare)

1170 Peachtree St NE
Suite 1600
Atlanta, GA 30309-7674
Phone (570) 854-1632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP006679GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Dec 18, 2023 Accepting new patients
Transperfect Health Corp Speech-Language Pathologist CurrentSince Feb 24, 2025 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist Current Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

1170 Peachtree St NE
Ste 1600
Atlanta, GA 30309
Phone (570) 854-1632

1250 Broadway
Fl 32
New York, NY 10001
Phone (212) 290-6447

Organizations & group practices 3

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": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1861939860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 HOLCOMB LAKE RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622092",
            "telephone_number": "770-693-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 HOLCOMB LAKE RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622092",
            "telephone_number": "770-693-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMMEE",
        "first_name": "LORAINE",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORAINE",
            "last_name": "KOZICHOUSKY",
            "middle_name": "JUDITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.