Jacqueline Denise Murry, PH.D

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005791 Issued in GA

Practice address

1894 Eastfield St
Decatur, GA 30032-4170

Phone

(770) 500-5508

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Primary Pathways, LLC

  • Speech-Language Pathologist
  • Decatur, GA
  • NPI 1528485455
  NPD Authorized official

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225189574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 EASTFIELD ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324170",
            "telephone_number": "770-500-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 EASTFIELD ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324170",
            "telephone_number": "770-500-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRY",
        "first_name": "JACQUELINE",
        "middle_name": "DENISE",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Watkins Murphy, MDIV
• Mercer Isomi Murphy
• Shannon Murphy, LPC
• Arthur Murray, LMSW
• Kelsey Murrell
• Radhika Ganti Murty, M.D.
• Muse Medical Clinic
• Jessie Louise Muse, MD
• John Howard Muse, DDS
• Tiffany Muse, APRN- WHNP

• Speech-Language Pathologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Speech-Language Pathologist in Georgia

• 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.

Verify at the official NPI Registry.