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Tiffany Clarke , MS, CCC-SLP

Speech-Language Pathologist β€’ Flowood, MS

Active NPI 1063101095 Individual Practitioner Female Practitioner
Practice location in NPPES

643 Lakeland East Dr Ste A
Flowood, MS 392329032

Call 6018247020 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

643 Lakeland East Dr Ste A

Flowood, MS 392329032

Telephone 6018247020

NPI first issued

2023

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 Flowood and Mississippi

11 active clinicians are listed under Speech-Language Pathologist with a practice address in Flowood, MS (1,502 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Flowood

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

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: 2025-03-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MS S5092

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: Mississippi State Medical Licensing 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

13 Historical Events
πŸ“
Updated Practice Location March 04, 2025

Registered at 643 LAKELAND EAST DR STE A, FLOWOOD, MS 392329032 (Tel: 6018247020)

πŸ“
Updated Business Mailing Address March 04, 2025

Registered at 643 LAKELAND EAST DR STE A, FLOWOOD, MS 392329032 (Tel: 6018247020)

πŸ‘€
Provider Name / Credentials Updated March 04, 2025

Recorded as TIFFANY CLARKE, M.S., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2025

Speech-Language Pathologist (license number reported to NPPES: MS S5092)

πŸ”„
NPI Profile Reactivated February 12, 2025

Record officially reactivated for active practice on February 12, 2025

⚠️
NPI Profile Deactivated June 12, 2023

NPPES lists this NPI as deactivated as of June 12, 2023; the reason is not published.

πŸ‘€
Provider Name / Credentials Updated May 30, 2023

Recorded as TIFFANY CLARKE, MS, CF-SLP

βœ…
NPI Profile Active May 04, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 04, 2023

Registered at 102 LEXINGTON DR STE B, MADISON, MS 391106952 (Tel: 6015214934)

πŸ“
Business Mailing Address (Initial Record) May 04, 2023

Registered at 115 AULENBROCK DR BLDG 100, CANTON, MS 390467061 (Tel: 6015214934)

πŸ‘€
Provider Name / Credentials (Initial Record) May 04, 2023

Recorded as TIFFANY CLARKE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2023

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration May 04, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063101095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2023
Last Update: March 04, 2025
Sole Proprietor: No

Mailing Address

643 Lakeland East Dr Ste A

Flowood, MS 392329032

Phone: 6018247020

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.