Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790005791 Individual Practitioner Female Practitioner

Demetria Jackson , CCC-SLP

Speech-Language Pathologist • Brunswick, GA

Professional Overview & Biography Verified Profile Summary

Demetria Jackson, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Brunswick, GA. Practice services are available at 157 CORAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

157 Coral Dr

Brunswick, GA 315238951

Telephone 9126894382
Fax 8888752884
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Brunswick, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
32 Specialists

Practicing in Brunswick, GA (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP007195

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
658178836A (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location February 04, 2022

Registered at 157 CORAL DR, BRUNSWICK, GA 315238951 (Tel: 9126894382)

📍
Updated Business Mailing Address February 04, 2022

Registered at PO BOX 2246, BRUNSWICK, GA 315212246 (Tel: 9126894382)

👤
Provider Name / Credentials Updated February 04, 2022

Recorded as DEMETRIA JACKSON, CCC-SLP

NPI Profile Active June 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2017

Registered at 4144 COBBLESTONE PARK DR, MILLEDGEVILLE, GA 310616658 (Tel: 4783535620)

📍
Updated Business Mailing Address June 16, 2017

Registered at 4144 COBBLESTONE PARK DR, MILLEDGEVILLE, GA 310616658 (Tel: (478) 353-5620)

👤
Provider Name / Credentials Updated June 16, 2017

Recorded as DEMETRIA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2017

Speech-Language Pathologist (License #SLP007195 in GA)

NPI Profile Active June 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2010

Registered at 1036 JACKS BLUFF ROAD, TOWNSEND, GA 31331 (Tel: 9128325828)

📍
Updated Business Mailing Address June 02, 2010

Registered at PO BOX 407, DARIEN, GA 313050407 (Tel: 9128325828)

👤
Provider Name / Credentials Updated June 02, 2010

Recorded as DEMETRIA NORMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2010

Speech-Language Pathologist (License #SLP007195 in GA)

🟢
Initial NPI Registration & Enumeration June 02, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Demetria Jackson. Be the first to share your experience!

Sign in to leave a review for Demetria Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790005791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2010
Last Update: February 04, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 2246

Brunswick, GA 315212246

Phone: 9126894382

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.