Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306720511 Individual Practitioner Female Practitioner

Lori Anne Bagwell , CCC-SLP

Speech-Language Pathologist • Vienna, GA

Professional Overview & Biography Verified Profile Summary

Lori Bagwell, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Vienna, GA. Practice services are available at 100 W UNION ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 W Union St

Vienna, GA 310921055

Telephone 2295211152
Associated Practice Facility / Clinic
🏢 Southwest Georgia Rehab, Inc Facility NPI 1689319428

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Vienna, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Vienna, 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: 2025-08-01
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP004943

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

1 Associated Practitioners
Darrian Krause

Speech-Language Pathologist

NPI 1689457491

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2025

Registered at 100 W UNION ST, VIENNA, GA 310921055 (Tel: 2295211152)

📍
Updated Business Mailing Address August 01, 2025

Registered at 1616 LUCY LN, ROCHELLE, GA 310797633 (Tel: 2299426797)

👤
Provider Name / Credentials Updated August 01, 2025

Recorded as LORI BAGWELL, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2025

Speech-Language Pathologist (License #SLP004943 in GA)

🟢
Initial NPI Registration & Enumeration August 01, 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: 1306720511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2025
Last Update: August 01, 2025
Sole Proprietor: Yes

Mailing Address

1616 Lucy Ln

Rochelle, GA 310797633

Phone: 2299426797

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.