SADIE R BOURNE SLP
NPI 1780485649
Speech-Language Pathologist in Magee, MS
About Sadie R Bourne Slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SADIE R BOURNE SLP (NPI 1780485649) is an individual speech-language pathologist provider in Magee, Mississippi, licensed in Mississippi (S5216) and active in the NPI registry since March 2025.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sadie R Bourne Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sadie Bourne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, MS 39350
- Reassigned Medicare billing, Mississippi enrollment
- 123 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sadie Bourne's NPI number?
The NPI number for Sadie Bourne is 1780485649. It was assigned to this individual provider in the NPPES registry on March 24, 2025.
Where is Sadie Bourne located?
Sadie Bourne practices at 720 3rd St SW, Magee, MS 39111. The listed phone number is (601) 439-7042.
What is Sadie Bourne's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Sadie Bourne enrolled in Medicare?
Yes. Sadie Bourne is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sadie Bourne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sadie Bourne reassigns Medicare benefits to Performance Therapy LLC (Philadelphia, MS). 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 Sadie Bourne'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 Sadie Bourne was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Sadie R Bourne, SLP · NPI 1780485649
Speech-Language Pathologist provider in Magee, Mississippi. Individual provider, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1780485649 (Entity type: Individual)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** S5216 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 720 3RD ST SW, Magee, MS 39111-3995
- **Phone:** (601) 439-7042
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Performance Therapy LLC (NPI 1851427132, Philadelphia, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780485649) · Data from the CMS NPPES public registry.