Lori Jane Jackson, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008987 Issued in GA

Practice address

9100 White Bluff Rd
Suite 202
Savannah, GA 31406-4668

Phone

(912) 335-8486

Fax

(912) 335-3528

NPI assigned

Aug 19, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Bilingual Speech Therapy

  • Speech-Language Pathologist
  • Hinesville, GA
  • NPI 1750642054
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437868800000",
    "number": "1902205693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WHITE BLUFF RD",
            "address_2": "SUITE 202",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064668",
            "telephone_number": "912-335-8486",
            "fax_number": "912-335-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WHITE BLUFF RD",
            "address_2": "SUITE 202",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064668",
            "telephone_number": "912-335-8486",
            "fax_number": "912-335-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LORI",
        "middle_name": "JANE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2015-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Jackson
• Heather M Jackson, AA
• Jay A Jackson, O.D.
• Lesia Tyson Jackson, M.D.
• Lester G. Jackson, D.D.S.
• Lorna C. Jackson, D.D.S.
• Marcella Jackson, CNA/MAA
• Michael Joseph Jackson, MD
• Nicole S Jackson, FNP
• Nkenge Ayeola Jackson, M.D.

• Speech-Language Pathologist in Savannah, GA
• Providers in Savannah, 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 26, 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.