J Branch SLP Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP001263 Issued in GA

Legal business name

J BRANCH SLP SERVICES

Practice address

5809 Westlake Dr
Tifton, GA 31794-2201

Phone

(229) 392-2521

Fax

(229) 386-5005

NPI assigned

Mar 17, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Judith B Branch, CCC-SLPNPI 1992070841

Title

Owner/Speech Therapist

Phone

(229) 392-2521

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith B Branch, CCC-SLP

  • Speech-Language Pathologist
  • Tifton, GA
  • NPI 1992070841
  NPD (past) Authorized official

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1801289798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 WESTLAKE DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317942201",
            "telephone_number": "229-392-2521",
            "fax_number": "229-386-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 WESTLAKE DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317942201",
            "telephone_number": "229-392-2521",
            "fax_number": "229-386-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J BRANCH SLP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/SPEECH THERAPIST",
        "authorized_official_telephone_number": "229-392-2521",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP001263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003148417B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003158766A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia W Ingram, FNPC
• Intervention and Prevention Services, Inc.
• Qurrat Ul Ain Iqbal, MBBS
• Irwin County Hospital
• Celia Ivery, FNP
• J H Harvey Co LLC
• Amy Ellis Jackson, PHARM D
• Georgia S Jackson, M.ED, CCC-SLP
• Patricia Anne James, MASSAGE THERAPIST
• Brigitte Locke Jarrard

• Speech-Language Pathologist in Tifton, GA
• Providers in Tifton, 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 Jul 23, 2015; 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.