Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. STACEY LYN GOTHARD MED CCC-SLP
NPI 1023165479
Speech-Language Pathologist in Eatonton, GA

Q: What is Stacey Gothard's NPI number?

The NPI number for Stacey Gothard is 1023165479. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Q: What is Stacey Gothard's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Gothard was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 05, 2007

147 ALEXANDER LAKES DR, EATONTON, GA 31024(678) 469-8421 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mrs. Stacey Lyn Gothard Med Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACEY LYN GOTHARD MED CCC-SLP (NPI 1023165479) is an individual speech-language pathologist provider in Eatonton, Georgia, licensed in Georgia (SLP005346) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1023165479

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. STACEY LYN GOTHARDCredential: MED CCC-SLP

Location Address147 ALEXANDER LAKES DREatonton, GA 31024-8051

Mailing Address147 Alexander Lakes DrEatonton, GA 31024-8051 · (678) 469-8421

Phone(678) 469-8421

Sole ProprietorYes

Enumeration DateJanuary 5, 2007

Last NPPES UpdateAugust 14, 2026

NPPES CertifiedAugust 14, 2026

✔ NPI 1023165479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in GA · SLP005346

Definition

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.

147 ALEXANDER LAKES DR, Eatonton, GA 31024

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Other Identifiers 1

Medicaid000961881BGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKE COUNTRY LANGUAGE AND LITERACY LLC

Clinic/Center (Hearing and Speech)

147 ALEXANDER LAKES DR
EATONTON, GA 31024

Putnam County (678) 469-8421

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Gothard's NPI number?

The NPI number for Stacey Gothard is 1023165479. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Stacey Gothard located?

Stacey Gothard practices at 147 Alexander Lakes Dr, Eatonton, GA 31024. The listed phone number is (678) 469-8421.

What is Stacey Gothard's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Stacey Gothard was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.