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Southern Pediatric Speech Therapy LLC

Early Intervention Provider Agency in Bloomingdale, GA · enumerated 2018 · authorized official Holly Hales, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053818351

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Pediatric Speech Therapy LLC
Practice address 108 Walnut St, Bloomingdale, GA, 31302
Phone (912) 658-6433
Enumeration date Apr 12, 2018
Last updated in NPPES Jun 16, 2018

Taxonomy & classification

252Y00000X Early Intervention Provider Agency Agencies Primary

Authorized official

Name Holly Hales
Title Owner
Phone (912) 658-6433

Other identifiers

Identifier Type State Issuer
003195129A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Southern Pediatric Speech Therapy LLC?
NPPES lists Holly Hales (Owner) as the authorized official for this organization.
What is the NPI number for Southern Pediatric Speech Therapy LLC?
The NPI for Southern Pediatric Speech Therapy LLC is 1053818351, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-16.