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Active NPI 1790841450 Individual Practitioner Female Practitioner

Tawanna C Jackson , MSP, CCC-SLP

Speech-Language Pathologist • Lithonia, GA

Professional Overview & Biography Verified Profile Summary

Tawanna Jackson, MSP, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Lithonia, GA. Practice services are available at 8075 MALL PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8075 Mall Pkwy
Suite 101-332

Lithonia, GA 300386993

Telephone 7703233002
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lithonia, GA

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

Practicing in Lithonia, 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 SLP005500

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.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Robyn Shields

Case Manager/Care Coordinator

NPI 1174889943
Jonathan Moore

Case Manager/Care Coordinator

NPI 1407122401
Veronica Watkins

Case Manager/Care Coordinator

NPI 1427394816
Phillip Todd , MED

Social Worker

NPI 1437215571

Master of Education

Karen Alleyne-Pierre , MA-PSYCHOLOGY

Case Manager/Care Coordinator

NPI 1447511142

MAPSYCHOLOGY

Brian Bowers

Case Manager/Care Coordinator

NPI 1487951703

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 8075 MALL PKWY, SUITE 101-332, LITHONIA, GA 300386993 (Tel: 7703233002)

📍
Updated Business Mailing Address July 09, 2007

Registered at 8075 MALL PKWY, SUITE 101-332, LITHONIA, GA 300386993 (Tel: 7703233002)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as TAWANNA JACKSON, MSP,CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #SLP005500 in GA)

🟢
Initial NPI Registration & Enumeration December 28, 2006

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: 1790841450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

8075 Mall Pkwy, Suite 101-332

Lithonia, GA 300386993

Phone: 7703233002

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.