MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP) – Speech-Language Pathologist, NPI 1295971612

Speech-Language Pathologist

MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP) is a healthcare provider. based in Dacula, Georgia. specializing in Speech-Language Pathologist. They hold the professional credentials ED.S., CCC-SLP. They hold a License No. SLP006818 (GA). The NPI Number for MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP) is 1295971612

Main info

Female

Sole Proprietor

Name

MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP)

NPI

1295971612

Phone

(678) 225-5779

Address

2870 ANGEL OAK CIR

Enumeration Date

7 January 2009

Last Update Date

27 November 2023

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience58

Completeness75

Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP)

2870 ANGEL OAK CIR
DACULA, GA 300191869
Phone: (678) 225-5779
Type: Mailing
4535 CHANDLER CT
MONROE, GA 306563688
Phone: (770) 625-0029
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.

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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.

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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 30019)

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Reviews

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Frequently asked questions

What NPI should I save for MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP)?

Save NPI 1295971612 if you need a stable reference for MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP).

Does this profile mean MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP) is currently active?

Yes — MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP) appears active in the national provider directory.

What does MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP) treat or focus on?

Patients typically see MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP) under the specialty Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.

Where is MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP)'s primary listing?

We display Dacula, Georgia because that is what the record indicates for MRS. STACEY ANN BUSBOOM (ED.S., CCC-SLP).

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.