Active NPI
Bobby Jean Jopling, M. ED., CCC-SLP
- Speech-Language Pathologist
- Brunswick, GA
National Provider Identifier
1124169297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP001089
- Practice address
- 2415 Parkwood Dr
Brunswick, GA 31520-4722 - Phone
- (912) 466-3180
- Fax
- (912) 466-3186
- NPI assigned
- Feb 9, 2007
- 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 | SLP001089 | GA | Primary |
Addresses
Primary practice location
2415 Parkwood Dr
Brunswick, GA 31520-4722
Mailing address
66 Maxwell Ave
St Simons Is, GA 31522-1861
Phone (912) 634-9988
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP001089 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124169297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 MAXWELL AVE",
"city": "ST SIMONS IS",
"state": "GA",
"postal_code": "315221861",
"telephone_number": "912-634-9988",
"fax_number": "912-466-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 PARKWOOD DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204722",
"telephone_number": "912-466-3180",
"fax_number": "912-466-3186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOPLING",
"first_name": "BOBBY",
"middle_name": "JEAN",
"name_prefix": "Miss",
"credential": "M. ED., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP001089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.