Jessica Denise Williams, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP009547 Issued in GA

Practice address

110 Woodfield Dr
Macon, GA 31210-5625

Phone

(478) 475-7988

Fax

(478) 475-7974

NPI assigned

May 29, 2017

Last updated

May 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ideal Therapy, LLC

  • Physical Therapist
  • Fayetteville, GA
  • NPI 1558508580
  Medicare reassignment NPD
• Immaculate Therapy

  • Speech-Language Pathologist
  • Jonesboro, GA
  • NPI 1225770258
  NPD Authorized official

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496016000000",
    "number": "1366970881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WOODFIELD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105625",
            "telephone_number": "478-475-7988",
            "fax_number": "478-475-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WOODFIELD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105625",
            "telephone_number": "478-475-7988",
            "fax_number": "478-475-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "middle_name": "DENISE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-29",
        "last_updated": "2017-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Lessie Williams, PSYCHOLOGIST
• Goddis J Williams
• Haley Alyssa Williams, DO
• Jazz Williams
• Jennifer D Williams, LPC
• John Thomas Williams IV, M.D.
• Justin K Williams, NP-C
• Kathryn O'Quinn Williams, MFT
• Katie J Williams, FNP-C
• Kenneth Reese Williams Jr., MD

• Speech-Language Pathologist in Macon, GA
• Providers in Macon, 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 May 29, 2017; 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.