Active NPI
Jessica May
- Speech-Language Pathologist
- Madison, MS
National Provider Identifier
1851747729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S4417
- Practice address
- 401 Baptist Dr Ste 306
Madison, MS 39110-2012 - Phone
- (601) 607-7204
- Fax
- (601) 607-7430
- NPI assigned
- May 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 10215 | OH | |
| Speech-Language Pathologist | 235Z00000X | S4417 | MS | Primary |
Addresses
Primary practice location
401 Baptist Dr Ste 306
Madison, MS 39110-2012
Mailing address
PO Box 2153 Dept 1947
Birmingham, AL 35287-0001
Other practice location 1
1200 N State St Ste 210
Jackson, MS 39202-2000
Phone (601) 714-3202
Other practice location 2
4301 Lakeland Dr
Flowood, MS 39232-8947
Phone (601) 939-7010
Other practice location 3
108 Clinton Pkwy
Clinton, MS 39056-4730
Phone (601) 926-2018
Other practice location 4
7273 S Siwell Rd
Byram, MS 39272-9767
Phone (601) 372-8223
Other practice location 5
6250 Old Canton Rd Ste 130
Jackson, MS 39211-2946
Phone (601) 956-7280
Other practice location 6
746 E Fifteenth St
Yazoo City, MS 39194-2706
Phone (662) 746-4032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 10215 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1851747729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2153 DEPT 1947",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352870001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BAPTIST DR STE 306",
"city": "MADISON",
"state": "MS",
"postal_code": "391102012",
"telephone_number": "601-607-7204",
"fax_number": "601-607-7430"
}
],
"practiceLocations": [
{
"address_1": "1200 N State St Ste 210",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392022000",
"country_code": "US",
"telephone_number": "601-714-3202",
"fax_number": "601-714-3416",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 Lakeland Dr",
"address_purpose": "LOCATION",
"city": "Flowood",
"state": "MS",
"postal_code": "392328947",
"country_code": "US",
"telephone_number": "601-939-7010",
"fax_number": "601-939-3332",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "108 Clinton Pkwy",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "MS",
"postal_code": "390564730",
"country_code": "US",
"telephone_number": "601-926-2018",
"fax_number": "601-924-9746",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7273 S Siwell Rd",
"address_purpose": "LOCATION",
"city": "Byram",
"state": "MS",
"postal_code": "392729767",
"country_code": "US",
"telephone_number": "601-372-8223",
"fax_number": "601-372-8125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6250 Old Canton Rd Ste 130",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392112946",
"country_code": "US",
"telephone_number": "601-956-7280",
"fax_number": "601-977-6244",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "746 E Fifteenth St",
"address_purpose": "LOCATION",
"city": "Yazoo City",
"state": "MS",
"postal_code": "391942706",
"country_code": "US",
"telephone_number": "662-746-4032",
"fax_number": "662-764-0967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAY",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP 10215",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S4417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.