MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP) – Speech-Language Pathologist, NPI 1922018738

MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP) is a healthcare provider. based in Dalton, Georgia. specializing in Speech-Language Pathologist. They hold the professional credentials MA, CCC-SLP. They hold a License No. 001899 (GA). The NPI Number for MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP) is 1922018738

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP)
NPI
1922018738
Phone
(706) 226-4623
Address
1410 CHATTANOOGA AVE
Enumeration Date
8 August 2006
Last Update Date
8 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062264623
Graduation Year
1984 (42 years ago)
PAC ID
9931101078
Group Practice PAC ID
9133121270
Professional Enrollment ID
I20090728000044
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

Provider Addresses for MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP)

  • 1410 CHATTANOOGA AVE

    DALTON, GA 307202564

    Phone: (706) 226-4623

    Fax: (706) 278-0580

    Type: Mailing

  • 1011, Professional Boulevard, Dalton, Whitfield County, Georgia, 30720, United States

    DALTON, GA 307202506

    Phone: (706) 226-4623

    Fax: (706) 278-0580

    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: 2009-07-28

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
I20090728000044IQualified 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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 30720)

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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: 9133121270View full group profile
NameSpecialtyState
-GA

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Frequently asked questions

What is the registry number for MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP)?
The registry entry for MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP) shows NPI 1922018738.
Does the public listing show MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP) as active?
MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP)'s NPI record reflects an active status in NPPES.
What does the directory say MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP) does?
Insurance directories may phrase it differently, but here MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP) maps to Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP)?
MS. KATHLEEN LANE EDWARDS (MA, CCC-SLP) is associated with Dalton, Georgia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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