BARBARA PETERSON (MHA, MA, CCC-SLP) – Speech-Language Pathologist, NPI 1003032913

BARBARA PETERSON (MHA, MA, CCC-SLP) is a healthcare provider. based in Marble hill, Georgia. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MHA, MA, CCC-SLP. They hold a License No. SLP006284 (GA). The NPI Number for BARBARA PETERSON (MHA, MA, CCC-SLP) is 1003032913

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
BARBARA PETERSON (MHA, MA, CCC-SLP)
NPI
1003032913
Phone
(770) 888-5221
Address
4940 STEVE TATE RD
Enumeration Date
18 April 2007
Last Update Date
11 August 2021

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
7707212812
Graduation Year
1993 (33 years ago)
PAC ID
9638576689
Group Practice PAC ID
8123936796
Professional Enrollment ID
I20210920000047
Address ID
GA301142011CA1100XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

224 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in GA

Provider Addresses for BARBARA PETERSON (MHA, MA, CCC-SLP)

  • 4940 STEVE TATE RD

    MARBLE HILL, GA 301482227

    Phone: (770) 888-5221

    Type: Mailing

  • 3905 JOHNS CREEK CT

    SUITE 250

    SUWANEE, GA 300241265

    Phone: (770) 888-5221

    Fax: (770) 623-5544

    Type: Location

  • 4940 STEVE TATE HWY

    MARBLE HILL, GA 301482227

    Phone: (678) 327-6228

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210920000047IQualified Speech Language PathologistGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30148)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123936796View full group profile
NameSpecialtyState
Qualified Speech Language PathologistFL
-GA
Physical Therapist In Private PracticeKY
-GA
Internal MedicineNC
Occupational Therapist In Private PracticeNC
Occupational Therapist In Private PracticeNC
-GA
Physical Therapist In Private PracticeKY
-PA

Reviews

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Frequently asked questions

How do payers reference BARBARA PETERSON (MHA, MA, CCC-SLP)?
For BARBARA PETERSON (MHA, MA, CCC-SLP), use NPI 1003032913 as the unique 10-digit identifier.
Is BARBARA PETERSON (MHA, MA, CCC-SLP) shown as active in public data?
Registry records indicate BARBARA PETERSON (MHA, MA, CCC-SLP) maintains an active NPI.
What expertise is attributed to BARBARA PETERSON (MHA, MA, CCC-SLP)?
BARBARA PETERSON (MHA, MA, CCC-SLP)'s specialty line reads Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Is BARBARA PETERSON (MHA, MA, CCC-SLP) located near Marble Hill?
BARBARA PETERSON (MHA, MA, CCC-SLP) currently maps to Marble Hill, Georgia in this extract.
Can I trust this NPI listing for BARBARA PETERSON (MHA, MA, CCC-SLP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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