Individual provider Active NPI

Jessica Brookens

  • Speech-Language Pathologist
  • Savannah, GA
National Provider Identifier
1649775354
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4910 Pineland Dr
Savannah, GA 31405-2508
Phone
(912) 395-5400
NPI assigned
Mar 26, 2018
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

4910 Pineland Dr
Savannah, GA 31405-2508

Mailing address

1921 Osprey Point Cir
Pooler, GA 31322-2160
Phone (215) 767-6902

Other practice location 1

111 Chambers Hill Dr Ste 101
Chambersburg, PA 17201-7304
Phone (717) 709-7997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119000781 PA Practitioner - Qualified Speech Language Pathologist 6901397710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 Chambers Hill Dr
Suite 200
Chambersburg, PA 17201-7302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rural Health Center CurrentSince Nov 6, 2025 Accepting new patients
Keystone Rural Health Center Current Accepting new patients
Keystone Rural Health Center CurrentSince Nov 6, 2025 Accepting new patients

Locations

110 Chambers Hill Dr
Chambersburg, PA 17201
Phone (717) 709-7930

111 Chambers Hill Dr
Ste 101
Chambersburg, PA 17201
Phone (717) 709-7997

111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900

820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313

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.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1649775354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 OSPREY POINT CIR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222160",
            "telephone_number": "215-767-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 PINELAND DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052508",
            "telephone_number": "912-395-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Chambers Hill Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172017304",
            "country_code": "US",
            "telephone_number": "717-709-7997",
            "fax_number": "717-261-4725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKENS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.

Verify at the official NPI Registry.