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Sherley Laurin Jackson , MS, CCC-SLP

Speech-Language Pathologist β€’ Locust Grove, GA

Active NPI 1942436829 Individual Practitioner Female Practitioner
Practice location in NPPES

300 Lester Mill Rd
Locust Grove, GA 302485306

Call 4044800489 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

300 Lester Mill Rd

Locust Grove, GA 302485306

Telephone 4044800489
Fax 6785865828
Organization at the Same NPPES Address or Phone
Villon Family Hospice Facility NPI 1508402330

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Locust Grove and Georgia

2 active clinicians are listed under Speech-Language Pathologist with a practice address in Locust Grove, GA (4,745 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES GA 010047

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL 30732

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES LA 7074

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
003230088A (GA)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 29, 2022

Registered at 300 LESTER MILL RD, LOCUST GROVE, GA 302485306 (Tel: 4044800489)

πŸ“
Updated Practice Location June 10, 2019

Registered at 4047 MADISON ACRES DR, LOCUST GROVE, GA 302484375 (Tel: 8283990979)

πŸ“
Updated Business Mailing Address June 10, 2019

Registered at 4047 MADISON ACRES DR, LOCUST GROVE, GA 302484375 (Tel: 8283990979)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2019

Speech-Language Pathologist (license number reported to NPPES: FL 30732)

βœ…
NPI Profile Active July 28, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 28, 2016

Registered at 5439 PARKHILL CT, BATON ROUGE, LA 708166113 (Tel: 8283990979)

πŸ“
Business Mailing Address (Initial Record) July 28, 2016

Registered at 5439 PARKHILL CT, BATON ROUGE, LA 708166113 (Tel: 8283990979)

πŸ‘€
Provider Name / Credentials (Initial Record) July 28, 2016

Recorded as SHERLEY JACKSON, M.S., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2016

Speech-Language Pathologist (license number reported to NPPES: LA 7074)

🟒
Initial NPI Registration & Enumeration June 05, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942436829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2009
Last Update: September 15, 2022
Sole Proprietor: Yes

Mailing Address

4047 Madison Acres Dr

Locust Grove, GA 302484375

Phone: 8283990979

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.