TRACY ANN JACKSON (NPI# 1982902516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982902516 |
| Entity Type | Individual |
| Full Name | TRACY ANN JACKSON |
| Credential | M.S., CCC-SLP |
| Practice Address |
6395 Polo Club Dr Cumming GA 30040-5716 |
| Practice Telephone | 5617065646 |
| Mailing Telephone | 5617065646 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP006097 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | ASHA (SPEECH-LANGUAGE CERTIFICATION) | 01069022 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639611486 | Tracy Lynn Jackson | Behavior Technician | 412 S Central Ave, Idabel, OK 74745-6060 | 2016-11-10 |
| 1952779209 | Tracy Jackson | Nurse's Aide | 11210 Orville Ave, Cleveland, OH 44106-1327 | 2015-09-03 |
| 1154436590 | Tracy P Jackson | Anesthesiology | 719 Thompson Ln Ste 22209, Nashville, TN 37204-4692 | 2006-08-19 |
| 1740203496 | Tracy Leslie Jackson | Dentist | 1731 Manatee Ave E, Bradenton, FL 34208 | 2006-07-25 |
| 1568879732 | Tracy Jackson | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2014-07-18 |
| 1992003594 | Tracy Elaine Jackson | Pharmacist | 1000 Broad St, Sumter, SC 29150-2505 | 2011-03-05 |
| 1871894899 | Tracy I Jackson | Registered Nurse | 2209 Howard St, Evanston, IL 60202-3636 | 2010-11-08 |
| 1932334091 | Tracy Jackson | Nurse Practitioner | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2009-05-19 |
| 1295902971 | Tracy Jackson | Registered Nurse | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2008-05-13 |
| 1154461283 | Tracy Letia Jackson | Physician Assistant | 215 W 125th St, New York, NY 10027-4426 | 2007-02-07 |
| Street Address |
6395 POLO CLUB DR |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184196 | Courtney Irene Orlosky | Speech-Language Pathologist | 2015 Goldmine Dr, Cumming, GA 30040-4418 | 2020-08-10 |
| 1881202992 | Kerri Aune | Speech-Language Pathologist | 3117 Columns Dr, Cumming, GA 30041-0502 | 2020-07-15 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1609308923 | Jamie Lee Suttles | Speech-Language Pathologist | 2450 Atlanta Highway, Suite 1001, Cumming, GA 30040 | 2017-03-28 |
| 1033576319 | Jodie Vaughn Brown | Speech-Language Pathologist | 785 Sienna Dr, Cumming, GA 30040-1001 | 2016-01-18 |
| 1770961104 | Sage Therapy LLC | Speech-Language Pathologist | 2485 Vistoria Dr, Cumming, GA 30041-1579 | 2015-05-18 |
| 1215335575 | Katherine Owens | Speech-Language Pathologist | 7125 Meadow Brook Ct, Cumming, GA 30040-7390 | 2014-12-18 |
| 1144626367 | Ilyana R. Morales | Speech-Language Pathologist | 4116 Preston Pointe Way, Cumming, GA 30041-6145 | 2014-11-16 |
| 1518373331 | Kristin Anderson Hill | Speech-Language Pathologist | 769 Peachtree Pkwy, Suite 1, Cumming, GA 30041-9349 | 2014-07-02 |
| 1811319270 | Mitzi Lynn Leahy | Speech-Language Pathologist | 865 Timber Lake Trl, Cumming, GA 30041-8608 | 2014-01-20 |
| Find all providers in CUMMING | ||||
Please comment or provide details below to improve the information on TRACY ANN JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.