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NPI 1023887031ActiveIndividual· Speech-Language Pathologist· Statesville, NC
Speech-Language Pathologist in Statesville, North Carolina, licensed in NC, with an NPI issued in January 2024. Medicare paid $25,953 for services to 19 patients in 2024.
Overview
| NPI | 1023887031 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 2, 2024 |
| Last updated in NPPES | Jan 2, 2024 |
| Certified by provider | Dec 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 8436 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 415 across 4 procedure codes |
| Paid by Medicare | $25,953 |
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All 43 speech-language pathologists in Statesville · All speech-language pathologists in North Carolina