Individual provider Active NPI

Mary Jennifer Zimmerman, CCC-SLP

  • Speech-Language Pathologist
  • Warner Robins, GA
National Provider Identifier
1922445907
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005332 Issued in GA
Practice address
613 Russell Pkwy Ste B
Warner Robins, GA 31088-7644
Phone
(478) 273-3381
Fax
(855) 307-7996
NPI assigned
May 30, 2013
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP005332 GA Primary

Addresses

Primary practice location

613 Russell Pkwy Ste B
Warner Robins, GA 31088-7644

Mailing address

613 Russell Pkwy Ste B
Warner Robins, GA 31088-7644
Phone (478) 273-3381

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLP005332GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Web to You, LLC Speech-Language Pathologist CurrentSince Aug 17, 2025 Accepting new patients

Locations

613 Russell Pkwy
Ste B
Warner Robins, GA 31088
Phone (478) 273-3381

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1922445907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 RUSSELL PKWY STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887644",
            "telephone_number": "478-273-3381",
            "fax_number": "855-307-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 RUSSELL PKWY STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887644",
            "telephone_number": "478-273-3381",
            "fax_number": "855-307-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MARY",
        "middle_name": "JENNIFER",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.