Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588797054 Individual Practitioner Female Practitioner

Bibian Carol Wisdom -Johnson , SLP

Speech-Language Pathologist • Mcdonough, GA

Professional Overview & Biography Verified Profile Summary

Bibian Wisdom -Johnson, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Mcdonough, GA. Practice services are available at 255 RACETRACK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

255 Racetrack Rd
Suite 12

Mcdonough, GA 302526834

Telephone 4046631867
Fax 4046630774
Associated Practice Facility / Clinic
🏢 Dvine Systems Ga Llc Facility NPI 1396065793

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mcdonough, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
32 Specialists

Practicing in Mcdonough, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP001995

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Ursula Davis , LPC

Counselor - Professional

NPI 1154781797

Licensed Professional Counselor

Lase Miller

Home Health

NPI 1689230898

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 255 RACETRACK RD, SUITE 12, MCDONOUGH, GA 302526834 (Tel: 4046631867)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 2155, MCDONOUGH, GA 302531730 (Tel: 4046631867)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BIBIAN WISDOM -JOHNSON, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SLP001995 in GA)

🟢
Initial NPI Registration & Enumeration March 14, 2007

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: 1588797054
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 2155

Mcdonough, GA 302531730

Phone: 4046631867

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.