Southern Pediatric Speech Therapy LLC
NPI 1053818351 · Early Intervention Provider Agency · Bloomingdale, GA
Southern Pediatric Speech Therapy LLC is a Early Intervention Provider Agency organization in Bloomingdale, GA (NPI 1053818351).
Provider details
- NPI number
- 1053818351
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Holly Hales, Owner(912) 658-6433
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-04-12
- Last updated
- 2018-06-16
Frequently asked questions
- What is Southern Pediatric Speech Therapy LLC's NPI number?
- Southern Pediatric Speech Therapy LLC's National Provider Identifier (NPI) is 1053818351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Pediatric Speech Therapy LLC?
- Southern Pediatric Speech Therapy LLC is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is Southern Pediatric Speech Therapy LLC located?
- Southern Pediatric Speech Therapy LLC's practice location on file with NPPES is 108 Walnut St, Bloomingdale, GA 31302-8535.
- What is Southern Pediatric Speech Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Pediatric Speech Therapy LLC is (912) 658-6433.
- Who is the authorized official for Southern Pediatric Speech Therapy LLC?
- The authorized official listed on Southern Pediatric Speech Therapy LLC's NPPES record is Holly Hales, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Pediatric Speech Therapy LLC's NPI active?
- Yes — Southern Pediatric Speech Therapy LLC's NPI (1053818351) is active in the NPPES registry as of the last update on 2018-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.