DVORA GOTTLIEB (MMS, CCC) – Speech-Language Pathologist, NPI 1992881726

DVORA GOTTLIEB (MMS, CCC) is a healthcare provider. based in Savannah, Georgia. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MMS, CCC. They hold a License No. SLP001158 (GA). The NPI Number for DVORA GOTTLIEB (MMS, CCC) is 1992881726

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
DVORA GOTTLIEB (MMS, CCC)
NPI
1992881726
Phone
(912) 352-9508
Address
202 STUART ST
Enumeration Date
27 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9123554601
Graduation Year
1985 (41 years ago)
PAC ID
9739234642
Group Practice PAC ID
7517012404
Professional Enrollment ID
I20090828000201
Address ID
GA314062248SA5414XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

224 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in GA

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Provider Addresses for DVORA GOTTLIEB (MMS, CCC)

  • 202, Stuart Street, Habersham Woods, Oakdale, Savannah, Chatham County, Georgia, 31405, United States

    SAVANNAH, GA 314055624

    Phone: (912) 352-9508

    Type: Mailing

  • 1206, East 66th Street, Fairfield, Kensington Park, Savannah, Chatham County, Georgia, 31404, United States

    SAVANNAH, GA 314045704

    Phone: (912) 355-4601

    Fax: (912) 355-7935

    Type: Location

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: 2009-08-28

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
I20090828000201IQualified 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 31405)

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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: 7517012404View full group profile
NameSpecialtyState
Qualified AudiologistGA
Qualified AudiologistGA

Reviews

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Frequently asked questions

What NPI should I save for DVORA GOTTLIEB (MMS, CCC)?
Save NPI 1992881726 if you need a stable reference for DVORA GOTTLIEB (MMS, CCC).
Is DVORA GOTTLIEB (MMS, CCC)'s NPI currently valid?
The extract we use shows DVORA GOTTLIEB (MMS, CCC) as active.
What does DVORA GOTTLIEB (MMS, CCC) treat or focus on?
Patients typically see DVORA GOTTLIEB (MMS, CCC) under the specialty Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where is DVORA GOTTLIEB (MMS, CCC)'s primary listing?
We display Savannah, Georgia because that is what the record indicates for DVORA GOTTLIEB (MMS, CCC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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