Active NPI
Teandra Averett
- Speech-Language Pathologist
- Hazlehurst, MS
National Provider Identifier
1992652150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S-4946
- Practice address
- 27190 Highway 28
Hazlehurst, MS 39083-2200 - Phone
- (601) 574-7000
- NPI assigned
- Mar 16, 2026
- Last updated
- Mar 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S-4946 | MS | Primary |
Addresses
Primary practice location
27190 Highway 28
Hazlehurst, MS 39083-2200
Mailing address
941 Valencia St
Jackson, MS 39204-4609
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
| License | State | Type | Specialty |
|---|---|---|---|
| S-4946 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1992652150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 VALENCIA ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392044609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27190 HIGHWAY 28",
"city": "HAZLEHURST",
"state": "MS",
"postal_code": "390832200",
"telephone_number": "601-574-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERETT",
"first_name": "TEANDRA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-16",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S-4946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazlehurst, MS
- 2083 Therapy, LLC (2083 Therapy of Hazelhurst)
- A Work of Art Home Care, LLC
- Aging Gracefully Community Center (Aging Gracefully)
- Richard B Akin, D.M.D.,P.A.
- Amy Keywood (Keyhabits Diabetes Management & Supplies)
- Jacqueline Ball
- Tyler Barnes
- Jonathan Garrett Bass, DPT
- Bio-Medical Applications of Mississippi, Inc. (Bma Hazlehurst)
- Roger Dale Blakeney, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.