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Active NPI 1750161808 Individual Practitioner Female Practitioner

Kelsey Jack , CCC-SLP

Speech-Language Pathologist • Douglasville, GA

Professional Overview & Biography Verified Profile Summary

Kelsey Jack, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Douglasville, GA. Practice services are available at 6078 DORSET BRIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6078 Dorset Bridge Rd

Douglasville, GA 301356016

Telephone 3612154254
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Douglasville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
21 Specialists

Practicing in Douglasville, 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: 2023-10-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA 012517

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NC 30002182

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 04, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2023

Registered at 6078 DORSET BRIDGE RD, DOUGLASVILLE, GA 301356016 (Tel: 3612154254)

📍
Updated Business Mailing Address October 04, 2023

Registered at 6078 DORSET BRIDGE RD, DOUGLASVILLE, GA 301356016

👤
Provider Name / Credentials Updated October 04, 2023

Recorded as KELSEY JACK, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2023

Speech-Language Pathologist (License #30002182 in NC)

🟢
Initial NPI Registration & Enumeration October 04, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750161808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2023
Last Update: October 04, 2023
Sole Proprietor: No

Mailing Address

6078 Dorset Bridge Rd

Douglasville, GA 301356016

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.