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Roberta W Edwards , SPEECH PATHOLOGIST

Speech-Language Pathologist β€’ Jackson, MS

Active NPI 1053438325 Individual Practitioner Female Practitioner
Practice location in NPPES

4607 Lindbergh Dr
Jackson, MS 392093855

Call 6012036378 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

4607 Lindbergh Dr

Jackson, MS 392093855

Telephone 6012036378
Fax 6012036379
Organization at the Same NPPES Address or Phone
State Veterans Affairs Board Facility NPI 1962999789

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

NPI first issued

2007

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 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Addresses are self-reported to NPPES and may be out of date.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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MS S2373

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
07071013 (MS)

Clinicians Sharing This Practice Address or Phone

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

1 listed
Abbie Joiner , PT

Physical Therapist

NPI 1447774617

Physical Therapist

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 January 06, 2022

Registered at 4607 LINDBERGH DR, JACKSON, MS 392093855 (Tel: 6012036378)

πŸ“
Updated Business Mailing Address January 06, 2022

Registered at 711 AVIGNON DR, RIDGELAND, MS 391575120 (Tel: 6016056777)

πŸ‘€
Provider Name / Credentials Updated January 06, 2022

Recorded as ROBERTA EDWARDS, SPEECH PATHOLOGIST

βœ…
NPI Profile Active February 11, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 11, 2010

Registered at 130 PARKWAY PLZ, KOSCIUSKO, MS 390903217 (Tel: 6622893588)

πŸ“
Business Mailing Address (Initial Record) February 11, 2010

Registered at 130 PARKWAY PLZ, KOSCIUSKO, MS 390903217 (Tel: 6622893588)

πŸ‘€
Provider Name / Credentials (Initial Record) February 11, 2010

Recorded as ROBERTA WATKINS, SPEECH PATHOLOGIST

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2010

Speech-Language Pathologist (license number reported to NPPES: MS S2373)

🟒
Initial NPI Registration & Enumeration March 23, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053438325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2007
Last Update: January 06, 2022
Sole Proprietor: No

Other Speech-Language Pathologists in Jackson

All Speech-Language Pathologists in Jackson

Mailing Address

711 Avignon Dr

Ridgeland, MS 391575120

Phone: 6016056777

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.