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Active NPI 1679821490 Individual Practitioner Female Practitioner

Mackenzie Forman , CCC-SLP

Speech-Language Pathologist • Wake Forest, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mackenzie Forman, CCC-SLP is a certified Speech-Language Pathologist practicing in Wake Forest, NC. With approximately 16 years of clinical experience since completing medical education in 2010, Mackenzie Forman delivers high-quality medical care to the local community at 1151 S MAIN ST APT 303.

Mackenzie Forman is affiliated with Legacy Healthcare Services Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1151 S Main St Apt 303

Wake Forest, NC 275879660

Telephone 9195561336
Fax 9195007696
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Wake Forest, NC

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +3.9 yrs vs City Avg
City Avg: 12.1 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
83 Specialists

Practicing in Wake Forest, NC (7242 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

Clinical Seniority & Experience Comparison

Dr. Forman (16 Years) 16 Yrs
Wake Forest Specialty Average (12.1 Years) 12.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-25
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NC 9405

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.

Hospital & Practice Group Affiliations

Legacy Healthcare Services Inc

1151 S Main St, Wake Forest, NC 275879646

Phone: 9195561336

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Dana Weber , OTD, OTR, L

Occupational Therapist

NPI 1245955053

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Erika Corey , COTA, L

Occupational Therapy Assistant

NPI 1366870172

Certified Occupational Therapy Assistant, L

Carol Leggett , PTA

Physical Therapy Assistant

NPI 1407256795

Physical Therapist Assistant

Kimberly Lampe , OTR

Occupational Therapist

NPI 1588838270

Occupational Therapist Registered

Caroline Berry , OTR, L

Occupational Therapist

NPI 1659770444

Occupational Therapist Registered, L

Ashley Clary

Occupational Therapy Assistant

NPI 1710695838

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location March 25, 2026

Registered at 1151 S MAIN ST APT 303, WAKE FOREST, NC 275879660 (Tel: 9195561336)

NPI Profile Active August 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2012

Registered at 5509 POINT LAKE CT, HOLLY SPRINGS, NC 275409349 (Tel: 9196562901)

📍
Updated Business Mailing Address August 28, 2012

Registered at 5326 GLENMORGAN LN, RALEIGH, NC 276168884

👤
Provider Name / Credentials Updated August 28, 2012

Recorded as MACKENZIE FORMAN, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2012

Speech-Language Pathologist (License #9405 in NC)

🟢
Initial NPI Registration & Enumeration August 28, 2012

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: 1679821490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2012
Last Update: March 25, 2026
Sole Proprietor: Yes

Mailing Address

5326 Glenmorgan Ln

Raleigh, NC 276168884

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.