Jennifer Elaine Kearse, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP003879 Issued in GA

Practice address

813 Atlanta Hwy
Warrenton, GA 30828-9105

Phone

(706) 465-3328

NPI assigned

Oct 25, 2018

Last updated

Oct 25, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1326515586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 TIGER BLVD UNIT 203",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311577",
            "telephone_number": "706-244-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 ATLANTA HWY",
            "city": "WARRENTON",
            "state": "GA",
            "postal_code": "308289105",
            "telephone_number": "706-465-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARSE",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SLP003879",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lushunda M Hurst, P.A.
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• Miek C. Johnson, PA
• Tiffany Johnson, FNP
• Richard E Melcher, MD
• Peach Medical Management (Warrenton Health and Rehabilitation Center)
• Point of Need, Inc
• Richard Austin Sease
• Selectis Warrenton LLC (Warrenton Health and Rehab)

• Speech-Language Pathologist in Warrenton, GA
• Providers in Warrenton, 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 Oct 25, 2018; 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.