LACY BOUTWELL – Speech-Language Pathologist, NPI 1164998928

Speech-Language Pathologist

LACY BOUTWELL is a healthcare provider. based in Kathleen, Georgia. specializing in Speech-Language Pathologist. They hold a License No. SLP008941 (GA). The NPI Number for LACY BOUTWELL is 1164998928

Main info

Female

Name

LACY BOUTWELL

NPI

1164998928

Phone

(678) 910-3940

Address

107 GRAND VIEW AVE

Enumeration Date

19 October 2018

Last Update Date

19 October 2018

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience28

Completeness75

Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for LACY BOUTWELL

107 GRAND VIEW AVE
KATHLEEN, GA 310472747
Phone: (678) 910-3940
Fax: (404) 464-0819
Type: Mailing
South Houston Lake Road, Warner Robins, Houston County, Georgia, 31088, United States
WARNER ROBINS, GA 310889042
Phone: (678) 910-3940
Fax: (404) 464-0819
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.

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

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 31047)

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Reviews

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Frequently asked questions

Can I verify LACY BOUTWELL with an NPI only?

You can start verification with NPI 1164998928 for LACY BOUTWELL, then check state licensing separately.

Is LACY BOUTWELL still practicing?

LACY BOUTWELL is currently listed as active in the public NPI registry.

What taxonomy line describes LACY BOUTWELL?

For research purposes, treat LACY BOUTWELL as Speech-Language Pathologist in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect LACY BOUTWELL on a map?

Expect Kathleen, Georgia as a primary anchor for LACY BOUTWELL unless the record lists multiple sites.

How many locations tie to this NPI?

2 practice locations appear in the available data.