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Deactivated NPI 1164003141 Deactivated / Inactive NPI Male Practitioner

Glenn Courtney Barnes , SLP

Speech-Language Pathologist • Villa Rica, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Glenn Barnes has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 20, 2021
NPI Deactivation Date March 26, 2026
Total Practice Duration ~5 Years of Practice (2021 – 2026)

Professional Overview & Biography Verified Profile Summary

Glenn Barnes, SLP was a registered Speech-Language Pathologist practicing in Villa Rica, GA. Throughout an active medical career spanning 5 years, Glenn Barnes provided care at the practice location at 9765 WALNUT GROVE TRL until profile deactivation on 2026-03-26.

Practice Location & Contact Primary Location

Practice Address

9765 Walnut Grove Trl

Villa Rica, GA 301804190

Telephone 7705702140
Associated Practice Facility / Clinic
🏢 All Stars Aba Llc Facility NPI 1275125544

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Villa Rica, GA

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

Practicing in Villa Rica, 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 SLP010654

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 26, 2026

Record deactivated on March 26, 2026

NPI Profile Active April 20, 2021

NPI status registered as active in NPPES database

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Updated Practice Location April 20, 2021

Registered at 9765 WALNUT GROVE TRL, VILLA RICA, GA 301804190 (Tel: 7705702140)

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Updated Business Mailing Address April 20, 2021

Registered at 1700 NORTHSIDE DR NW STE A7, ATLANTA, GA 303182695 (Tel: 7705702140)

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Provider Name / Credentials Updated April 20, 2021

Recorded as GLENN BARNES, SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2021

Speech-Language Pathologist (License #SLP010654 in GA)

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Initial NPI Registration & Enumeration April 20, 2021

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: 1164003141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2021
Last Update: April 20, 2021
Deactivation Date: March 26, 2026

Mailing Address

1700 Northside Dr Nw Ste A7

Atlanta, GA 303182695

Phone: 7705702140

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.