Active NPI
Charlene William Jones-Smith, MS, CCC-SLP
- Speech-Language Pathologist
- Magee, MS
National Provider Identifier
1043403124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S0971
- Practice address
- 193 Colonial Circle
Magee, MS 39111 - Phone
- (601) 849-3925
- Fax
- (601) 434-9332
- NPI assigned
- Aug 22, 2007
- Last updated
- Mar 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S0971 | MS | Primary |
Addresses
Primary practice location
193 Colonial Circle
Magee, MS 39111
Mailing address
193 Colonial Cir
Magee, MS 39111-5776
Phone (601) 849-3925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0971 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1043403124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 COLONIAL CIR",
"city": "MAGEE",
"state": "MS",
"postal_code": "391115776",
"telephone_number": "601-849-3925",
"fax_number": "601-434-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 COLONIAL CIRCLE",
"city": "MAGEE",
"state": "MS",
"postal_code": "39111",
"telephone_number": "601-849-3925",
"fax_number": "601-434-9332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES-SMITH",
"first_name": "CHARLENE",
"middle_name": "WILLIAM",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S0971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magee, MS
- Hometown Healthcare of Magee, PLLC
- Hospice Providers, LLC (Hospice in His Hands - Magee Division)
- Independent Healthcare Management Inc (149 Pediatric and Family Clinic)
- Rosalind Jaynes, RN
- David Shane Johnson, PA-C
- Karen M Bruce MD PLLC
- Kathleen Patterson, PHD, PLLC
- Terri Jean Keyes, D.C.
- Tribia Frye Lockhart, LCSW
- Helena Lott
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.