Stacey Gothard, MED CCC-SLP
NPI 1023165479 · Speech-Language Pathologist · Social Circle, GA
Stacey Gothard, MED CCC-SLP is a Speech-Language Pathologist provider in Social Circle, GA (NPI 1023165479).
Provider details
- NPI number
- 1023165479
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MED CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SLP005346 (GA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Stacey Gothard's NPI number?
- Stacey Gothard's National Provider Identifier (NPI) is 1023165479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Gothard's specialty?
- Stacey Gothard is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Stacey Gothard located?
- Stacey Gothard's practice location on file with NPPES is 335 Nicklaus Cir, Social Circle, GA 30025-5344.
- What is Stacey Gothard's phone number?
- The practice phone number listed in the NPPES registry for Stacey Gothard is (678) 625-4556.
- Is Stacey Gothard's NPI active?
- Yes — Stacey Gothard's NPI (1023165479) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.