Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073490322 Individual Practitioner Female Practitioner

Alexa Johanson

Speech-Language Pathologist • Bloomingdale, GA

Professional Overview & Biography Verified Profile Summary

Alexa Johanson is a registered healthcare professional specializing in Speech-Language Pathologist in Bloomingdale, GA. Practice services are available at 335 OLD RAIL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

335 Old Rail Rd

Bloomingdale, GA 313024025

Telephone 9124210140
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bloomingdale, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Bloomingdale, 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: 2025-07-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA PCET004380

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.

Secondary Practice Locations

103 E Us Highway 80

Bloomingdale, GA 313029226

Phone: 9124210140

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Anna Cava , MD

Speech-Language Pathologist

NPI 1023804895

Doctor of Medicine (M.D.)

NPI 1104697135

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Whitney Wiley , SLP

Speech-Language Pathologist

NPI 1154170009

Speech-Language Pathologist

Estella Reynolds

Speech-Language Pathologist

NPI 1194518514
Hanna Sukenik

Speech-Language Pathologist

NPI 1255188033
Sydney Sorrells

Occupational Therapist

NPI 1265260723

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 19, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2025

Registered at 335 OLD RAIL RD, BLOOMINGDALE, GA 313024025 (Tel: 9124210140)

📍
Updated Business Mailing Address August 19, 2025

Registered at 119 RUBY TRL, GUYTON, GA 313127001 (Tel: 9128562282)

👤
Provider Name / Credentials Updated August 19, 2025

Recorded as ALEXA JOHANSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2025

Speech-Language Pathologist (License #PCET004380 in GA)

🟢
Initial NPI Registration & Enumeration August 19, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073490322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2025
Last Update: August 19, 2025
Sole Proprietor: Yes

Mailing Address

119 Ruby Trl

Guyton, GA 313127001

Phone: 9128562282

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.