Tara Renee Johnson, M.S., CCC/SLP
NPI 1770758286ActiveIndividual· Speech-Language Pathologist· Lillington, NC
Speech-Language Pathologist (M.S., CCC/SLP) with Paragon Outpatient Rehabilitation Services LLC, practicing in Lillington, North Carolina. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1770758286 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., CCC/SLP |
| Sole proprietor | Yes |
| NPI issued | Apr 25, 2008 |
| Last updated in NPPES | May 4, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 7970 | 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) |
|---|
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Paragon Outpatient Rehabilitation Services LLCAlbemarle, NC · 195 clinicians
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All Speech-Language Pathologist providers in North Carolina →