Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679659650 Individual Practitioner Female Practitioner

Yelena Zoya Carlisle , MS CCC-SLP, CLC

Speech-Language Pathologist • Acworth, GA

Professional Overview & Biography Verified Profile Summary

Yelena Carlisle, MS CCC-SLP, CLC is a registered healthcare professional specializing in Speech-Language Pathologist in Acworth, GA. Practice services are available at 4811 VILLAGE SQ NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4811 Village Sq Nw

Acworth, GA 301023464

Telephone 4046657804
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Acworth, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
41 Specialists

Practicing in Acworth, GA (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-07
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP006410

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
850584527A (GA)
Medicaid State Provider ID
85058427A (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Practice Location July 21, 2022

Registered at 4811 VILLAGE SQ NW, ACWORTH, GA 301023464 (Tel: 4046657804)

📍
Updated Business Mailing Address July 21, 2022

Registered at 4811 VILLAGE SQ NW, ACWORTH, GA 301023464 (Tel: 4046657804)

👤
Provider Name / Credentials Updated July 21, 2022

Recorded as YELENA CARLISLE, M.S. CCC-SLP, CLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2018

Speech-Language Pathologist

NPI Profile Active October 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2017

Registered at 5145 GLENDORA DR, POWDER SPRINGS, GA 301275349 (Tel: 4046657804)

📍
Updated Business Mailing Address October 17, 2017

Registered at 5145 GLENDORA DR, POWDER SPRINGS, GA 301275349 (Tel: 4046657804)

👤
Provider Name / Credentials Updated October 17, 2017

Recorded as YELENA CARLISLE, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2017

Speech-Language Pathologist (License #SLP006410 in GA)

📍
Updated Practice Location September 12, 2017

Registered at 534 OWL CREEK DR, POWDER SPRINGS, GA 301276285 (Tel: (770) 361-4124)

📍
Updated Business Mailing Address September 12, 2017

Registered at 534 OWL CREEK DR, POWDER SPRINGS, GA 301276285 (Tel: (770) 361-4124)

👤
Provider Name / Credentials Updated September 12, 2017

Recorded as YELENA CARLISLE, M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2017

Speech-Language Pathologist

NPI Profile Active October 18, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2007

Registered at 9 LACRUE ST., SUITE 210, CONCORDVILLE, PA 19331 (Tel: 8005787906)

📍
Updated Business Mailing Address October 18, 2007

Registered at PO BOX 7, CONCORDVILLE, PA 193310007 (Tel: 8005787906)

👤
Provider Name / Credentials Updated October 18, 2007

Recorded as YELENA HARRISON, M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2007

Speech-Language Pathologist (License #SLP006410 in GA)

🟢
Initial NPI Registration & Enumeration October 31, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679659650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2006
Last Update: September 07, 2022
Sole Proprietor: Yes

Mailing Address

4811 Village Sq Nw

Acworth, GA 301023464

Phone: 4046657804

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.