HOLLY SPRINGS FEEDING & SPEECH
NPI 1366986937
Speech-Language Pathologist in Holly Springs, NC

Active since December 15, 2016
500 HOLLY SPRINGS RD STE 101, HOLLY SPRINGS, NC 27540(919) 297-2997(919) 297-2993 Get Directions Write a Review

NPPES record last updated: December 15, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Holly Springs Feeding & Speech NPPES

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

HOLLY SPRINGS FEEDING & SPEECH (NPI 1366986937) is a healthcare organization registered as a speech-language pathologist in Holly Springs, North Carolina and active in the NPI registry since December 2016. The organization lists Jill Odle, Speech Language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1366986937
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameHOLLY SPRINGS FEEDING & SPEECH
Location Address500 HOLLY SPRINGS RD STE 101Holly Springs, NC 27540-6204
Mailing Address500 Holly Springs Rd Ste 101Holly Springs, NC 27540-6204 · (919) 297-2997 · Fax (919) 297-2993
Fax(919) 297-2993
Organization SubpartNo
Authorized OfficialJill OdleSpeech Language Pathologist · (919) 297-2997
Enumeration DateDecember 15, 2016
✔ NPI 1366986937 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 · 11212
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.
500 HOLLY SPRINGS RD STE 101, Holly Springs, NC 27540

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Springs Feeding & Speech is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20211118000880Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Holly Springs Feeding & Speech, which bills Medicare for the services this clinician delivers.

Clinician (1)

Qualified Speech Language Pathologist
NPI 1780915629
201 SHADOW MIST CT
Apex, NC 27539
(201) 779-9800
✔ Accepts Medicare2.3 mi

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

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 Springs Feeding & Speech's NPI number?

The NPI number for Holly Springs Feeding & Speech is 1366986937. It was assigned to this organization in the NPPES registry on December 15, 2016.

Where is Holly Springs Feeding & Speech located?

Holly Springs Feeding & Speech is located at 500 Holly Springs Rd Ste 101, Holly Springs, NC 27540. The listed phone number is (919) 297-2997.

What is Holly Springs Feeding & Speech's specialty?

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

Is Holly Springs Feeding & Speech enrolled in Medicare?

Yes. Holly Springs Feeding & Speech is registered in the Medicare PECOS enrollment system.

When is Holly Springs Feeding & Speech's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Holly Springs Feeding & Speech?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Holly Springs Feeding & Speech. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Holly Springs Feeding & Speech accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Holly Springs Feeding & Speech 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 Holly Springs Feeding & Speech was last updated on December 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.