Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477818342 Individual Practitioner Female Practitioner

Kendall Jackson , SLP

Speech-Language Pathologist • East Point, GA

Professional Overview & Biography Verified Profile Summary

Kendall Jackson, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in East Point, GA. Practice services are available at 3485 N DESERT DR STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3485 N Desert Dr Ste 105

East Point, GA 303445724

Telephone 6787247033
Fax 6783027357
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in East Point, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
23 Specialists

Practicing in East Point, 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: 2023-08-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP008103

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
003126519G (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Destiny Mack

Speech-Language Pathologist

NPI 1043864432

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 18, 2023

Registered at 3485 N DESERT DR STE 105, EAST POINT, GA 303445724 (Tel: 6787247033)

📍
Updated Practice Location November 29, 2019

Registered at 3460 SOMERSET TRL SW, ATLANTA, GA 303317935 (Tel: 8643237445)

📍
Updated Business Mailing Address November 29, 2019

Registered at 3460 SOMERSET TRL SW, ATLANTA, GA 303317935 (Tel: 8643237445)

👤
Provider Name / Credentials Updated November 29, 2019

Recorded as KENDALL JACKSON, SLP

NPI Profile Active February 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2013

Registered at 415 SYLVIA DR, H16, FOREST PARK, GA 302972918 (Tel: 8643237445)

📍
Updated Business Mailing Address February 12, 2013

Registered at 415 SYLVIA DR, H16, FOREST PARK, GA 302972918 (Tel: 8643237445)

👤
Provider Name / Credentials Updated February 12, 2013

Recorded as KENDALL JACKSON-MABIFAH, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2013

Speech-Language Pathologist (License #SLP008103 in GA)

🟢
Initial NPI Registration & Enumeration July 06, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1477818342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2012
Last Update: August 18, 2023
Sole Proprietor: Yes

Mailing Address

3460 Somerset Trl Sw

Atlanta, GA 303317935

Phone: 8643237445

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.