Acts
NPI 1093253395ActiveOrganization· Speech-Language Pathologist· Fayetteville, GA
Speech-Language Pathologist in Fayetteville, Georgia, registered in NPPES in February 2017. The authorized official on file is Katherine L. Gridley, MA, CCC-SLP, Slp-Owner.
Overview
| NPI | 1093253395 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2017 |
| Last updated in NPPES | Feb 7, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SLP001692 | GA |
| Occupational Therapist, Pediatrics | 225XP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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