Jordan Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011716 Issued in GA

Practice address

2700 Patrick Henry Pkwy
Stockbridge, GA 30281-9108

Phone

(770) 464-5088

NPI assigned

May 15, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1821789538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 S FULTON AVE UNIT 1504",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541773",
            "telephone_number": "706-619-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 PATRICK HENRY PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819108",
            "telephone_number": "770-464-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Smith
• Denyia Smith, MD
• Disheca Renee Smith, MA, LPC, NCC
• Elizabeth Nadra Smith, FNP-C
• Gary T Smith, PHYSICAL THERAPIST
• Khalil H. Smith
• Kimberly Victoria Smith, NP-C
• Kyra Smith
• Nicole L Smith, NP
• Paul Andrew Smith, DMD

• Speech-Language Pathologist in Stockbridge, GA
• Providers in Stockbridge, 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 May 15, 2023; 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.