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

JOHANNA LINNEA BOZEMAN M.ED., CCC-SLP
NPI 1154052041
Speech-Language Pathologist in Villa Rica, GA

Active since June 21, 2022
112 THREE WEST PKWY, VILLA RICA, GA 30180(770) 459-6533(770) 462-1260 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johanna Linnea Bozeman M.ed., Ccc-slp NPPES

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

JOHANNA LINNEA BOZEMAN M.ED., CCC-SLP (NPI 1154052041) is an individual speech-language pathologist provider in Villa Rica, Georgia, licensed in Georgia (SLP012557) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1154052041
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJOHANNA LINNEA BOZEMANCredential: M.ED., CCC-SLP
Location Address112 THREE WEST PKWYVilla Rica, GA 30180-4778
Mailing Address112 Three West PkwyVilla Rica, GA 30180-4778 · (770) 459-6533 · Fax (770) 462-1260
Fax(770) 462-1260
Sole ProprietorNo
Enumeration DateJune 21, 2022
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
NPI 1154052041 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 · SLP012557
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.
112 THREE WEST PKWY, Villa Rica, GA 30180

Other Names 1

Former Name (1)Johanna Wagner M.ed., Ccc-slp

Other Identifiers 1

Medicaid003285781AGA

Accepted Insurance

Other Providers at the Same Location NPPES 16

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

Occupational Therapist
112 THREE WEST PKWY
VILLA RICA, GA 30180
Occupational Therapist
112 THREE WEST PKWY
VILLA RICA, GA 30180
Speech-Language Pathologist
112 THREE WEST PKWY
VILLA RICA, GA 30180
Occupational Therapy Assistant
112 THREE WEST PKWY
VILLA RICA, GA 30180
Physical Therapist
112 THREE WEST PKWY
VILLA RICA, GA 30180
Speech-Language Pathologist
112 THREE WEST PKWY
VILLA RICA, GA 30180
Speech-Language Pathologist
112 THREE WEST PKWY
VILLA RICA, GA 30180
Occupational Therapist
112 THREE WEST PKWY
VILLA RICA, GA 30180

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 Johanna Bozeman's NPI number?

The NPI number for Johanna Bozeman is 1154052041. It was assigned to this individual provider in the NPPES registry on June 21, 2022. The provider is also known as Johanna Wagner M.Ed., Ccc-Slp.

Where is Johanna Bozeman located?

Johanna Bozeman practices at 112 Three West Pkwy, Villa Rica, GA 30180. The listed phone number is (770) 459-6533.

What is Johanna Bozeman's specialty?

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

What insurance does Johanna Bozeman accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Johanna Bozeman 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 Johanna Bozeman was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 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.