Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942436829 Individual Practitioner Female Practitioner

Sherley Laurin Jackson , MS, CCC-SLP

Speech-Language Pathologist • Locust Grove, GA

Professional Overview & Biography Verified Profile Summary

Sherley Jackson, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Locust Grove, GA. Practice services are available at 300 LESTER MILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Lester Mill Rd

Locust Grove, GA 302485306

Telephone 4044800489
Fax 6785865828
Associated Practice Facility / Clinic
🏢 Villon Family Hospice Facility NPI 1508402330

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Locust Grove, GA

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

Practicing in Locust Grove, 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: 2022-09-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA 010047

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 FL 30732

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 LA 7074

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
003230088A (GA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Jeannine St Paul , RN

Registered Nurse - Hospice

NPI 1366084626

Registered Nurse

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 29, 2022

Registered at 300 LESTER MILL RD, LOCUST GROVE, GA 302485306 (Tel: 4044800489)

📍
Updated Practice Location June 10, 2019

Registered at 4047 MADISON ACRES DR, LOCUST GROVE, GA 302484375 (Tel: 8283990979)

📍
Updated Business Mailing Address June 10, 2019

Registered at 4047 MADISON ACRES DR, LOCUST GROVE, GA 302484375 (Tel: 8283990979)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2019

Speech-Language Pathologist (License #30732 in FL)

NPI Profile Active July 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2016

Registered at 5439 PARKHILL CT, BATON ROUGE, LA 708166113 (Tel: 8283990979)

📍
Updated Business Mailing Address July 28, 2016

Registered at 5439 PARKHILL CT, BATON ROUGE, LA 708166113 (Tel: 8283990979)

👤
Provider Name / Credentials Updated July 28, 2016

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2016

Speech-Language Pathologist (License #7074 in LA)

🟢
Initial NPI Registration & Enumeration June 05, 2009

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: 1942436829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2009
Last Update: September 15, 2022
Sole Proprietor: Yes

Mailing Address

4047 Madison Acres Dr

Locust Grove, GA 302484375

Phone: 8283990979

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.