Active NPI
Jacob Strong, MS, CCC-SLP
- Speech-Language Pathologist
- Holly Springs, NC
National Provider Identifier
1578312062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30002581
- Practice address
- 500 Holly Springs Rd Ste 103
Holly Springs, NC 27540-6204 - Phone
- (919) 297-2997
- NPI assigned
- May 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30002581 | NC | Primary |
Addresses
Primary practice location
500 Holly Springs Rd Ste 103
Holly Springs, NC 27540-6204
Mailing address
2850 Courtney Creek Blvd Apt 1326
Durham, NC 27713-1677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 110566
Durham, NC 27709
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30002581 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holly Springs Feeding & Speech | Speech-Language Pathologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Durham Regional Hospital
- Internal Medicine Physician
- Durham, NC
- NPI 1376574798
-
dba Duke University Hospital
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
-
- Speech-Language Pathologist
- Holly Springs, NC
- NPI 1366986937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1578312062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 COURTNEY CREEK BLVD APT 1326",
"city": "DURHAM",
"state": "NC",
"postal_code": "277131677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HOLLY SPRINGS RD STE 103",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275406204",
"telephone_number": "919-297-2997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRONG",
"first_name": "JACOB",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-16",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30002581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.