Individual provider Active NPI

Madison Marie Bosilevac, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Savannah, GA
National Provider Identifier
1972469492
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013957 Issued in GA
Practice address
5105 Paulsen St
Savannah, GA 31405-4621
Phone
(912) 844-4583
NPI assigned
Dec 29, 2025
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 013957 GA Primary

Addresses

Primary practice location

5105 Paulsen St
Savannah, GA 31405-4621

Mailing address

18881 W Dodge Rd Ste 300W
Elkhorn, NE 68022-4648
Phone (877) 230-3885

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 Science

State licenses

LicenseStateTypeSpecialty
013957GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1972469492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18881 W DODGE RD STE 300W",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224648",
            "telephone_number": "877-230-3885",
            "fax_number": "402-925-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054621",
            "telephone_number": "912-844-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSILEVAC",
        "first_name": "MADISON",
        "middle_name": "MARIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "013957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.