SPEAKEASY CLINIC
NPI 1649933250
Speech-Language Pathologist in Pascagoula, MS
About Speakeasy Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPEAKEASY CLINIC (NPI 1649933250) is a healthcare organization registered as a speech-language pathologist in Pascagoula, Mississippi and active in the NPI registry since October 2021. The organization lists Terral Latady, Speech-language Pathologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Speakeasy Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Speakeasy Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Speakeasy Clinic's NPI number?
The NPI number for Speakeasy Clinic is 1649933250. It was assigned to this organization in the NPPES registry on October 20, 2021.
Where is Speakeasy Clinic located?
Speakeasy Clinic is located at 1511 Jackson Ave, Pascagoula, MS 39567. The listed phone number is (228) 219-4793.
What is Speakeasy Clinic's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Speakeasy Clinic enrolled in Medicare?
Yes. Speakeasy Clinic is registered in the Medicare PECOS enrollment system.
When is Speakeasy Clinic'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 (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. 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 Speakeasy Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Qualified Speech Language Pathologist, reassign their Medicare billing to Speakeasy Clinic. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Speakeasy Clinic accept?
Health plans from Molina Healthcare list Speakeasy Clinic 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 Speakeasy Clinic was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Speakeasy Clinic · NPI 1649933250
Speech-Language Pathologist organization in Pascagoula, Mississippi. Organization record, active in the CMS NPPES registry since October 20, 2021.
## Identity
- **NPI:** 1649933250 (Entity type: Organization)
- **Enumerated:** October 20, 2021
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Organization subpart:** No
- **Authorized official:** Terral Latady, SPEECH-LANGUAGE PATHOLOGIST
## Practice location
- **Address:** 1511 JACKSON AVE, Pascagoula, MS 39567-4356
- **Phone:** (228) 219-4793 · **Fax:** (228) 533-2324
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Qualified Speech Language Pathologist) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649933250) · Data from the CMS NPPES public registry.