Jennifer Irwin

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

License

SLP006766 Issued in GA

Practice address

164 Summer Grove Lane
Macon, GA 31206

Phone

(478) 538-1436

NPI assigned

Oct 3, 2013

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

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.

• Middle Georgia Family Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Byron, GA
  • NPI 1245672724
  NPD (past)

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1326475591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SUMMER GROVE LANE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31206",
            "telephone_number": "478-538-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SUMMER GROVE LANE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31206",
            "telephone_number": "478-538-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "GA",
            "license": "SLP006766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Garrett Intorcia, APRN
• Maryam Irfan
• Anthony Irlik
• Gera Lynn Irvine, LPC
• Ae Mary Vilayvong Irwin, NP
• Haleigh Grace Isanhart, MD
• Nazrul Islam, M.D.
• Noel Raymund Israel, MD
• It'S All Things ABA
• Michael Ogbenna Iteogu, RPH

• Speech/Language/Hearing Specialist/Technologist in Macon, GA
• Providers in Macon, GA by specialty
• Speech/Language/Hearing Specialist/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.