Jade Yvonne Kelly, M.ED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005980 Issued in GA

Practice address

1152 Tifton Eldorado Rd
Tifton, GA 31794-8729

Phone

(478) 455-1171

Fax

(229) 329-4532

NPI assigned

Mar 8, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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.

• Golden Speech Therapy, Inc

  • Hearing and Speech Clinic/Center
  • Tifton, GA
  • NPI 1073041919
  Medicare reassignment NPD

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1861994576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 GEORGIA DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944215",
            "telephone_number": "229-402-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 TIFTON ELDORADO RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317948729",
            "telephone_number": "478-455-1171",
            "fax_number": "229-329-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JADE",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Jordan, SLP
• Sarah L Jordan, NP
• Geri E Justice, MD
• Anna Nicole Keen, LDO
• Coretta D. Keith, DNP, FNP-BC
• Tiffany Kennedy
• Naeem Khan, M.D.
• Kasey Ann Kight, OTR/L
• Carley Tomlinson Kinard, M.ED., CCC-SLP
• Karen Ann Kinard, FNP-C

• 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 Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.