Martha Mackenzie Carlson, ED. S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Jefferson, GA
NPI 1922432707 · NPPES record last updated Aug 3, 2026
Key facts
- NPI
- 1922432707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP008730 (GA)
- Practice address
- 1660 Winder Hwy
Jefferson, GA 30549-5458 - Phone
- (706) 367-5151
- NPI assigned
- Aug 28, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCET001953 | GA | MD | Speech-Language Pathologist |
| SLP008730 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County School System | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP008730 | GA | Yes |
| Speech-Language Pathologist | 235Z00000X | PCET001953 | GA |
Addresses
Primary practice location
1660 Winder Hwy
Jefferson, GA 30549-5458
Mailing address
1660 Winder Hwy
Jefferson, GA 30549-5458
Phone (706) 367-5151
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All providers in Jefferson, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.