NPIMap

Organization Active NPI

Jackson Speech Therapy Services

  • Speech-Language Pathologist
  • Athens, GA
National Provider Identifier
1003540261
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
JACKSON SPEECH THERAPY SERVICES
Practice address
380 Lakeland Dr
Athens, GA 30607-2092
Phone
(706) 224-1178
NPI assigned
Jul 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lois L Jackson, M. ED. CCC-SLPNPI 1740604032
Title
Organizer/Owner/SLP
Phone
(706) 224-1178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

380 Lakeland Dr
Athens, GA 30607-2092

Mailing address

380 Lakeland Dr
Athens, GA 30607-2092
Phone (706) 224-1178

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1003540261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 LAKELAND DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072092",
            "telephone_number": "706-224-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 LAKELAND DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072092",
            "telephone_number": "706-224-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON SPEECH THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ORGANIZER/OWNER/SLP",
        "authorized_official_telephone_number": "706-224-1178",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M. ED. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.