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Jessica Dean , CCC-SLP

Speech-Language Pathologist β€’ Morrow, GA

Active NPI 1801956396 Individual Practitioner Female Practitioner
Practice location in NPPES

1400 Southlake Plaza Dr
Morrow, GA 302603026

Call 7707033796 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

1400 Southlake Plaza Dr

Morrow, GA 302603026

Telephone 7707033796
Fax 6784897065
Organization at the Same NPPES Address or Phone
Solo Therapy Facility NPI 1215612650

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

NPI first issued

2006

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 Morrow and Georgia

7 active clinicians are listed under Speech-Language Pathologist with a practice address in Morrow, 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Addresses are self-reported to NPPES and may be out of date.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: 2023-03-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES GA SLP 006490

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

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location March 09, 2023

Registered at 1400 SOUTHLAKE PLAZA DR, MORROW, GA 302603026 (Tel: 7707033796)

πŸ“
Updated Business Mailing Address March 09, 2023

Registered at 1400 SOUTHLAKE PLAZA DR, MORROW, GA 302601756 (Tel: 7707033796)

πŸ‘€
Provider Name / Credentials Updated March 09, 2023

Recorded as JESSICA DEAN, CCC-SLP

βœ…
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 09, 2007

Registered at 675 SEMINOLE AVE NE, SUITE T05, ATLANTA, GA 303073408 (Tel: 4045754000)

πŸ“
Business Mailing Address (Initial Record) July 09, 2007

Registered at 747 RALPH MCGILL BLVD NE, SUITE 1429, ATLANTA, GA 303121127

πŸ‘€
Provider Name / Credentials (Initial Record) July 09, 2007

Recorded as JESSICA KEITH, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (license number reported to NPPES: GA SLP 006490)

🟒
Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801956396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: March 09, 2023
Sole Proprietor: No

Mailing Address

1400 Southlake Plaza Dr

Morrow, GA 302601756

Phone: 7707033796

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.