Jessica F Graham, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1301 W Government St
Brandon, MS 39042-3196

Phone

(601) 724-8886

NPI assigned

Mar 18, 2025

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

Other names 1

• Jessica Fuller Former name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Performance Therapy LLC

  • Physical Therapist
  • Philadelphia, MS
  • NPI 1851427132
  Medicare reassignment NPD
• Peak Therapy LLC

  • Physical Therapist
  • Brandon, MS
  • NPI 1215896600

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1659171601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W BEACON ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393503229",
            "telephone_number": "601-650-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W GOVERNMENT ST",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423196",
            "telephone_number": "601-724-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JESSICA",
        "middle_name": "F",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FULLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lloyd James Gordon III, MD
• Mary Alon Gosa, SLP
• Shamiah Goudy, OTR/L
• Andrew Graef
• Melanie P Grafton, D.P.T.
• Barry Wyn Grantham II, ATS
• Grants Ferry Family Dentistry
• Zoe Amoret Grasee-Slenning, PT, DPT
• Gray Matters Integrative Psychology, PLLC
• Katina Gray

• Speech-Language Pathologist in Brandon, MS
• Providers in Brandon, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.