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MRS. LYNN GANTT BLACKLEY MA CCC SLP
NPI 1891955613
Speech-Language Pathologist in Apex, NC

Active since June 16, 2008
1302 EASTHAM DR, APEX, NC 27502(919) 387-0395(919) 387-9381 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Lynn Gantt Blackley Ma Ccc Slp NPPES

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

MRS. LYNN GANTT BLACKLEY MA CCC SLP (NPI 1891955613) is an individual speech-language pathologist provider in Apex, North Carolina, licensed in Virginia (2202005214) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1891955613
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. LYNN GANTT BLACKLEYCredential: MA CCC SLP
Location Address1302 EASTHAM DRApex, NC 27502-8550
Mailing Address1302 Eastham DriveApex, NC 27502-8550 · (919) 387-0395 · Fax (919) 387-9381
Phone(919) 387-0395
Fax(919) 387-9381
Sole ProprietorNo
Enumeration DateJune 16, 2008
✔ NPI 1891955613 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 VA · 2202005214
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.
1302 EASTHAM DR, Apex, NC 27502
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lynn Gantt Blackley Ma Ccc Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Aegis Group Practice LLC
11 mi
Physical Therapist
3113 CHARLES B ROOT WYND
Raleigh, NC 27612
  • Reassigned Medicare billing, North Carolina enrollment
  • 6 clinicians in this Medicare group
NPI 1952069536 (800) 444-6845

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 Lynn Blackley's NPI number?

The NPI number for Lynn Blackley is 1891955613. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Lynn Blackley located?

Lynn Blackley practices at 1302 Eastham Dr, Apex, NC 27502. The listed phone number is (919) 387-0395.

What is Lynn Blackley's specialty?

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

Is Lynn Blackley enrolled in Medicare?

Yes. Lynn Blackley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lynn Blackley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynn Blackley reassigns Medicare benefits to Aegis Group Practice LLC (Raleigh, 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 Lynn Blackley'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 Lynn Blackley was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.