Active NPI
Jacqueline Dingle Pompey, M.A., CCC-SLP
- Speech-Language Pathologist
- Timmonsville, SC
National Provider Identifier
1174899124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4511
- Practice address
- 3790 Alligator Rd
Timmonsville, SC 29161-9346 - Phone
- (843) 230-0033
- Fax
- (843) 420-5493
- NPI assigned
- Mar 23, 2012
- 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 | 4511 | SC | Primary |
Addresses
Primary practice location
3790 Alligator Rd
Timmonsville, SC 29161-9346
Mailing address
3790 Alligator Rd
Timmonsville, SC 29161-9346
Phone (843) 230-0033
Other practice location 1
355 Ridge Run Trl
Irmo, SC 29063-8667
Phone (803) 271-2364
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4511 | SC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyful Speech With Jackie LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Palmetto Early Beginnings | Speech-Language Pathologist | Past | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Timmonsville, SC
- NPI 1528771425
-
- Speech-Language Pathologist
- Irmo, SC
- NPI 1669766341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732406400000",
"number": "1174899124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3790 ALLIGATOR RD",
"city": "TIMMONSVILLE",
"state": "SC",
"postal_code": "291619346",
"telephone_number": "843-230-0033",
"fax_number": "843-420-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3790 ALLIGATOR RD",
"city": "TIMMONSVILLE",
"state": "SC",
"postal_code": "291619346",
"telephone_number": "843-230-0033",
"fax_number": "843-420-5493"
}
],
"practiceLocations": [
{
"address_1": "355 Ridge Run Trl",
"address_purpose": "LOCATION",
"city": "Irmo",
"state": "SC",
"postal_code": "290638667",
"country_code": "US",
"telephone_number": "803-271-2364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POMPEY",
"first_name": "JACQUELINE",
"middle_name": "DINGLE",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-23",
"last_updated": "2024-11-24",
"certification_date": "2024-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Timmonsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.