Individual provider Active NPI

Kaylan Elliott, SLP

  • Speech-Language Pathologist
  • Ridgeland, MS
National Provider Identifier
1023819026
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S-5201 Issued in MS
Practice address
115 W Jackson St Ste 1D
Ridgeland, MS 39157-2428
Phone
(601) 853-9747
NPI assigned
Mar 24, 2025
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S-5201 MS Primary

Addresses

Primary practice location

115 W Jackson St Ste 1D
Ridgeland, MS 39157-2428

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 497-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327000331 MS Practitioner - Qualified Speech Language Pathologist 6204359565 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-5201MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC Speech-Language Pathologist CurrentSince Apr 7, 2025 Accepting new patients
Dpti Elite Physical Therapy LLC Current Accepting new patients
Agilitas USA, Inc CurrentSince Apr 7, 2025 Accepting new patients
Benchmark Physical Therapy of Mississippi LLC CurrentSince Apr 7, 2025 Accepting new patients
Drayer Physical Therapy Mississippi LLC Speech-Language Pathologist CurrentSince Apr 7, 2025 Accepting new patients
Agilitas USA Inc CurrentSince Apr 7, 2025 Accepting new patients
Drayer Physical Therapy Mississippi LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

921 Cedar Lake Rd
Ste O
Biloxi, MS 39532
Phone (228) 533-2545

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

4010 Bienville Blvd
Unit E
Ocean Springs, MS 39564
Phone (228) 300-6001

115 W Jackson St
Ste 1D
Ridgeland, MS 39157
Phone (601) 853-9747

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

3451 Goodman Rd E
Ste 108
Southaven, MS 38672
Phone (662) 253-9060

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1023819026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-497-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W JACKSON ST STE 1D",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572428",
            "telephone_number": "601-853-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KAYLAN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-5201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.