Individual provider Active NPI

George Marshall Jerman Jr., SLP

  • Speech-Language Pathologist
  • Rocky Mount, NC
National Provider Identifier
1083946305
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8766 Issued in NC
Practice address
6688 Wind Chime CT
Rocky Mount, NC 27803-8501
Phone
(252) 442-6507
Fax
(252) 442-9145
NPI assigned
Feb 11, 2010
Last updated
Feb 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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 8766 NC Primary

Addresses

Primary practice location

6688 Wind Chime CT
Rocky Mount, NC 27803-8501

Mailing address

6688 Wind Chime CT
Rocky Mount, NC 27803-8501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260423001651 NC Practitioner - Qualified Speech Language Pathologist 5991272262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Home Therapy NC LLCGroup PAC ID 1850870478, 5 clinicians

Practice addresses (Care Compare)

5660 Durham Rd
Roxboro, NC 27574-7958
Phone (973) 775-9626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8766NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Interventions LLC Speech-Language Pathologist Current Accepting new patients

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, 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": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1083946305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 WIND CHIME CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278038501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6688 WIND CHIME CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278038501",
            "telephone_number": "252-442-6507",
            "fax_number": "252-442-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERMAN",
        "first_name": "GEORGE",
        "middle_name": "MARSHALL",
        "name_suffix": "Jr.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.

Verify at the official NPI Registry.