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HOLLY CHRISTINE SUMMERLIN
NPI 1194584011
Speech-Language Pathologist in Greensboro, NC

Active since March 14, 2024
1103 N ELM ST STE 300, GREENSBORO, NC 27401(336) 272-6161(336) 230-2150 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2026, Oct 6, 2025 (2 updates tracked since 2025).

About Holly Christine Summerlin NPPES

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

HOLLY CHRISTINE SUMMERLIN (NPI 1194584011) is an individual speech-language pathologist provider in Greensboro, North Carolina, licensed in North Carolina (30002621) and active in the NPI registry since March 2024. She maintains a secondary practice location in Winston Salem and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194584011
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameHOLLY CHRISTINE SUMMERLIN
Location Address1103 N ELM ST STE 300Greensboro, NC 27401-6312
Mailing Address307 Upton StWinston Salem, NC 27103-1735 · (336) 837-4222 · Fax (336) 419-2755
Phone(336) 272-6161
Fax(336) 230-2150
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 14, 2024
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1194584011 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 NC · 30002621
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.
1103 N ELM ST STE 300, Greensboro, NC 27401
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Secondary Practice Location 1

Location 1307 Upton StWinston Salem, NC 27103-1735 · Phone (336) 837-4222 · Fax (336) 419-2755

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Christine Summerlin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648769984
PECOS Enrollment IDI20251028002405

Medicare Billing Reassignment

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

Moses Cone Physician Services, Inc.
Same address
Neurology with Special Qualifications in Child Neurology
1103 N ELM ST, SUITE 300
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
NPI 1619244936 (336) 271-3331

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 7

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

STEPHANIE MANNING WOLFE MD
Psychiatry & Neurology (Neurology)
1103 N ELM ST STE 300
GREENSBORO, NC 27401
Guilford County (336) 271-3331
MR. RANDY JOE NEWELL JR. CPNP-PC
Nurse Practitioner (Pediatrics)
1103 N ELM ST STE 300
GREENSBORO, NC 27401
Guilford County (336) 272-6161
MARIAN EARLS MD
Pediatrics
1103 N ELM ST STE 300
GREENSBORO, NC 27401
Guilford County (336) 271-3331
LEANNE KING CHAVIS RD
Dietitian, Registered
1103 N ELM ST STE 300
GREENSBORO, NC 27401
Guilford County (336) 272-6161
MS. MAUREEN BRIDGET CORCORAN OTR
Occupational Therapist
1103 N ELM ST STE 300
GREENSBORO, NC 27401
Guilford County (336) 272-6161
ALEXANDRA ROBINS MS, OTR/L
Occupational Therapist
1103 N ELM ST STE 300
GREENSBORO, NC 27401
Guilford County (336) 272-3331
REBECCA DORAN DNP, CPNP-PC
Nurse Practitioner (Pediatrics)
1103 N ELM ST STE 300
GREENSBORO, NC 27401
Guilford County (336) 272-6161

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 Holly Summerlin's NPI number?

The NPI number for Holly Summerlin is 1194584011. It was assigned to this individual provider in the NPPES registry on March 14, 2024.

Where is Holly Summerlin located?

Holly Summerlin practices at 1103 N Elm St Ste 300, Greensboro, NC 27401. The listed phone number is (336) 272-6161.

What is Holly Summerlin's specialty?

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

Is Holly Summerlin enrolled in Medicare?

Yes. Holly Summerlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Holly Summerlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Summerlin reassigns Medicare benefits to Moses Cone Physician Services, Inc. (Greensboro, NC). 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 Holly Summerlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Holly Summerlin was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.