Active NPI
Jessica Bauserman Martin, SLP
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1023287323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8400
- Practice address
- 4025 N Sharon Amity
Charlotte, NC 28205 - Phone
- (704) 817-8603
- NPI assigned
- Feb 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7342 | SC | |
| Speech-Language Pathologist | 235Z00000X | 8400 | NC | Primary |
Addresses
Primary practice location
4025 N Sharon Amity
Charlotte, NC 28205
Mailing address
17631 Caddy Court
Charlotte, NC 28278
Phone (864) 616-0482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Trail Ridge Rd
Suite 101
Aiken, SC 29803-7766
Phone (405) 821-6648
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7342 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prava PC | Speech-Language Pathologist | Current | Accepting new patients |
| Reinvent Health Inc | Current | Accepting new patients |
Locations
555 S Mangum St
Ste 100
Durham, NC 27701
Phone (323) 545-3659
900 Trail Ridge Rd
Ste 101
Aiken, SC 29803
Phone (405) 821-6648
900 Trail Ridge Rd
Fl 1
Aiken, SC 29803
Phone (803) 233-2882
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1023287323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17631 CADDY COURT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28278",
"telephone_number": "864-616-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 N SHARON AMITY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28205",
"telephone_number": "704-817-8603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JESSICA",
"middle_name": "BAUSERMAN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "7342",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.