Jarena Campbell

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006556 Issued in GA

Practice address

4520 Creekside CV
College Park, GA 30349-3957

Phone

(404) 759-0191

Fax

(678) 519-1049

NPI assigned

May 4, 2007

Last updated

Jan 5, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Verbal Image, LLC

  • Speech-Language Pathologist
  • Smyrna, GA
  • NPI 1740941442
  NPD Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1790997492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 S COBB DR SE STE H-127",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 CREEKSIDE CV",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493957",
            "telephone_number": "404-759-0191",
            "fax_number": "678-519-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JARENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-01-05",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "address_1": "4880 South Cobb Dr",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Busse, LPC
• Frank D Butler Jr., DMD
• C P Sharma,M.D PC (Chandi P Sharma, M.D PC)
• Denita Caldwell Kelly, LMSW
• Ashley Calhoun, LPC, NCC
• Keajia Dashun Campbell
• Patricia Ann Cannon, RN
• Cardiac Disease Specialists, P.C.
• Carefree Building Maintenance (Carefree Maison)
• Phylicia Cash, LAPC

• Speech-Language Pathologist in College Park, GA
• Providers in College Park, 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 Jan 5, 2022; 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.