Individual provider Active NPI

Jillian Elaine Birch, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Columbus, GA
National Provider Identifier
1427340413
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7552 Issued in GA
Practice address
2515 Double Churches Rd
Columbus, GA 31909-2742
Phone
(706) 660-5495
Fax
(706) 660-5497
NPI assigned
May 9, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7552GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidsense Therapy Group, LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7552 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2515 Double Churches Rd
Columbus, GA 31909-2742

Mailing address

6298 Veterans Pkwy Ste 5a
Post Office Box 8068
Columbus, GA 31909-6245
Phone (706) 322-7762

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 9, 2011.

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1427340413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6298 VETERANS PKWY STE 5A",
            "address_2": "POST OFFICE BOX 8068",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096245",
            "telephone_number": "706-322-7762",
            "fax_number": "706-327-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 DOUBLE CHURCHES RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092742",
            "telephone_number": "706-660-5495",
            "fax_number": "706-660-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "JILLIAN",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "7552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.