Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Raney Watters , SLP

Speech-Language Pathologist • Jackson, MS

Active NPI 1053905273 Individual Practitioner Female Practitioner
Practice location in NPPES

5903 Ridgewood Rd
Jackson, MS 392113700

Call 6018993800 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

5903 Ridgewood Rd

Jackson, MS 392113700

Telephone 6018993800
Organization at the Same NPPES Address or Phone
Select Specialty Hospital - Jackson Inc Facility NPI 1255330163

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

NPI first issued

2021

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, “Does 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 Jackson and Mississippi

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 130 clinicians have the CMS telehealth indicator.

2.3% of these 130 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 · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-02-27
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MS S3662

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Gary Davis , MD

Internal Medicine - Nephrology

NPI 1912065251

Doctor of Medicine (M.D.)

Dr. James Moore , MD

Internal Medicine - Nephrology

NPI 1760561252

Doctor of Medicine (M.D.)

Dr. Babatunde Olutade , MD

Internal Medicine - Nephrology

NPI 1316050750

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated February 28, 2021.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from March 2021 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1053905273
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2021
Last Update: February 28, 2021
Sole Proprietor: No

Other Speech-Language Pathologists in Jackson

All Speech-Language Pathologists in Jackson

Mailing Address

157 Dyke Rd Apt 30

Ridgeland, MS 391579206

Phone: 6628971010

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.