HERBERT LACKEY III
NPI 1114814712
Speech-Language Pathologist in Ringgold, GA

Active since June 18, 2025Accepts Medicare Assignment
54 BATTLEFIELD CANOPY CIR, RINGGOLD, GA 30736(706) 445-3655 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Herbert Lackey Iii NPPES

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

HERBERT LACKEY III (NPI 1114814712) is an individual speech-language pathologist provider in Ringgold, Georgia, licensed in Georgia (SLP013643) and active in the NPI registry since June 2025. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1114814712
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameHERBERT LACKEY III
Location Address54 BATTLEFIELD CANOPY CIRRinggold, GA 30736-5052
Mailing Address54 Battlefield Canopy CirRinggold, GA 30736-5052
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1114814712 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 · SLP013643
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.
54 BATTLEFIELD CANOPY CIR, Ringgold, GA 30736

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Herbert Lackey Iii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002372216
PECOS Enrollment IDI20260728004849

Medicare Billing Reassignment

Medicare enrollment records show Herbert Lackey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
5501 OLD HIXSON PIKE
Hixson, TN 37343
  • Reassigned Medicare billing, Tennessee enrollment
  • 28 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

Assisted Living Facility
54 BATTLEFIELD CANOPY CIR
RINGGOLD, GA 30736
Speech-Language Pathologist
54 BATTLEFIELD CANOPY CIR
RINGGOLD, GA 30736
Physical Therapist
54 BATTLEFIELD CANOPY CIR
RINGGOLD, GA 30736
Physical Therapist
54 BATTLEFIELD CANOPY CIR
RINGGOLD, GA 30736
Physical Therapist
54 BATTLEFIELD CANOPY CIR
RINGGOLD, GA 30736

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 Herbert Lackey's NPI number?

The NPI number for Herbert Lackey is 1114814712. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Herbert Lackey located?

Herbert Lackey practices at 54 Battlefield Canopy Cir, Ringgold, GA 30736. The listed phone number is (706) 445-3655.

What is Herbert Lackey's specialty?

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

Is Herbert Lackey enrolled in Medicare?

Yes. Herbert Lackey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Herbert Lackey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Herbert Lackey reassigns Medicare benefits to The Weston Group Of Tennessee Inc (Hixson, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Herbert Lackey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Herbert Lackey accept?

Health plans from BlueCross BlueShield of Tennessee list Herbert Lackey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Herbert Lackey was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.