Individual provider Active NPI

Lauren Lane Stoklosa, SPEECH PATHOLOGIST

  • Speech-Language Pathologist
  • Leesburg, GA
National Provider Identifier
1902887961
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP004130 Issued in GA
Practice address
155 Leland Ferrell Dr
Leesburg, GA 31763-4559
Phone
(229) 446-0692
NPI assigned
Nov 8, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 SLP004130 GA Primary

Addresses

Primary practice location

155 Leland Ferrell Dr
Leesburg, GA 31763-4559

Mailing address

155 Leland Ferrell Dr
Leesburg, GA 31763-4559
Phone (229) 446-0692

Other identifiers 1

IdentifierTypeStateIssuer
624173876AMedicaidGA

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
SLP004130GAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902887961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LELAND FERRELL DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634559",
            "telephone_number": "229-446-0692",
            "fax_number": "229-446-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LELAND FERRELL DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634559",
            "telephone_number": "229-446-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKLOSA",
        "first_name": "LAUREN",
        "middle_name": "LANE",
        "name_prefix": "Mrs.",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624173876A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.