Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295971612 Individual Practitioner Female Practitioner

Stacey Ann Busboom , EDS, CCC-SLP

Speech-Language Pathologist • Monroe, GA

Professional Overview & Biography Verified Profile Summary

Stacey Busboom, EDS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Monroe, GA. Practice services are available at 4535 CHANDLER CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4535 Chandler Ct

Monroe, GA 306563688

Telephone 7706250029
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Monroe, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 50.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Monroe, 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: 2023-11-27
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP006818

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
432013779A (GA)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 27, 2023

Registered at 4535 CHANDLER CT, MONROE, GA 306563688 (Tel: 7706250029)

📍
Updated Business Mailing Address November 27, 2023

Registered at 4535 CHANDLER CT, MONROE, GA 306563688 (Tel: 7706250029)

👤
Provider Name / Credentials Updated November 27, 2023

Recorded as STACEY BUSBOOM, ED.S., CCC-SLP

NPI Profile Active January 07, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2009

Registered at 2870 ANGEL OAK CIR, DACULA, GA 300191869 (Tel: 6782255779)

📍
Updated Business Mailing Address January 07, 2009

Registered at 2870 ANGEL OAK CIR, DACULA, GA 300191869 (Tel: 6782255779)

👤
Provider Name / Credentials Updated January 07, 2009

Recorded as STACEY BUSBOOM, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2009

Speech-Language Pathologist (License #SLP006818 in GA)

🟢
Initial NPI Registration & Enumeration January 07, 2009

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: 1295971612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2009
Last Update: November 27, 2023
Sole Proprietor: Yes

Mailing Address

4535 Chandler Ct

Monroe, GA 306563688

Phone: 7706250029

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.