MRS. STACEY LYN GOTHARD (MED CCC-SLP) – Speech-Language Pathologist, NPI 1023165479

MRS. STACEY LYN GOTHARD (MED CCC-SLP) is a healthcare provider. based in Social circle, Georgia. specializing in Speech-Language Pathologist. They hold the professional credentials MED CCC-SLP. They hold a License No. SLP005346 (GA). The NPI Number for MRS. STACEY LYN GOTHARD (MED CCC-SLP) is 1023165479

Main info

Female
Sole Proprietor
Name
MRS. STACEY LYN GOTHARD (MED CCC-SLP)
NPI
1023165479
Phone
(678) 625-4556
Address
335 NICKLAUS CIR
Enumeration Date
5 January 2007
Last Update Date
8 July 2007
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

Provider Addresses for MRS. STACEY LYN GOTHARD (MED CCC-SLP)

  • 335 NICKLAUS CIR

    SOCIAL CIRCLE, GA 300255344

    Phone: (678) 625-4556

    Fax: (678) 625-9638

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 30025)

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Frequently asked questions

What number should I use to identify MRS. STACEY LYN GOTHARD (MED CCC-SLP) for billing?
Administrative and clinical systems typically use NPI 1023165479 for MRS. STACEY LYN GOTHARD (MED CCC-SLP).
Is MRS. STACEY LYN GOTHARD (MED CCC-SLP) currently accepting referrals based on NPI status?
Registry metadata lists MRS. STACEY LYN GOTHARD (MED CCC-SLP) as active.
What services align with MRS. STACEY LYN GOTHARD (MED CCC-SLP)'s listing?
MRS. STACEY LYN GOTHARD (MED CCC-SLP)'s public classification highlights Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. STACEY LYN GOTHARD (MED CCC-SLP)?
The directory associates MRS. STACEY LYN GOTHARD (MED CCC-SLP) with Social Circle, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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