Individual provider Active NPI

Joclaire G Merrill, MA, CCC-SLP

  • Speech-Language Pathologist
  • Memphis, TN
National Provider Identifier
1326380478
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2508 Issued in TN
Practice address
4055 Park Ave
Memphis, TN 38152-7420
Phone
(901) 678-2009
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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 2508 TN Primary

Addresses

Primary practice location

4055 Park Ave
Memphis, TN 38152-7420

Mailing address

PO Box 1000 Dept 128
Memphis, TN 38148-0128
Phone (901) 821-0338

Other names 1

  • Jo Claire Gallimore Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130508000085 TN Practitioner - Qualified Speech Language Pathologist 4284871419 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Memphis CurrentSince Aug 2, 2023 Accepting new patients
The University of Memphis Speech-Language Pathologist CurrentSince Aug 2, 2023 Accepting new patients

Locations

807 Jefferson Ave
Memphis, TN 38105
Phone (901) 678-5800

4055 N Park Loop
Memphis, TN 38152
Phone (901) 678-2003

4075 Park Ave
Memphis, TN 38111
Phone (901) 584-8281

4055 N Park Loop
Ste 1004
Memphis, TN 38152
Phone (901) 678-2009

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1326380478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 128",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480128",
            "telephone_number": "901-821-0338",
            "fax_number": "901-821-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381527420",
            "telephone_number": "901-678-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "JOCLAIRE",
        "middle_name": "G",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "2508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO CLAIRE",
            "last_name": "GALLIMORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.