Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982902516 Individual Practitioner Female Practitioner

Tracy Ann Jackson , MS, CCC-SLP

Speech-Language Pathologist • Cumming, GA

Professional Overview & Biography Verified Profile Summary

Tracy Jackson, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Cumming, GA. Practice services are available at 6395 POLO CLUB DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6395 Polo Club Dr

Cumming, GA 300405716

Telephone 5617065646

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Cumming, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
94 Specialists

Practicing in Cumming, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP006097

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

Commercial Insurance / Payer ID Asha (Speech-Language Certification)
01069022 (GA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2011

Registered at 6395 POLO CLUB DR, CUMMING, GA 300405716 (Tel: 5617065646)

📍
Updated Business Mailing Address March 07, 2011

Registered at 6395 POLO CLUB DR, CUMMING, GA 300405716 (Tel: 5617065646)

👤
Provider Name / Credentials Updated March 07, 2011

Recorded as TRACY JACKSON, M.S., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2011

Speech-Language Pathologist (License #SLP006097 in GA)

🟢
Initial NPI Registration & Enumeration March 07, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982902516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2011
Last Update: March 07, 2011
Sole Proprietor: No

Mailing Address

6395 Polo Club Dr

Cumming, GA 300405716

Phone: 5617065646

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

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