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Deactivated NPI 1457509713 Deactivated / Inactive NPI Female Practitioner

Jane M Coolidge , MA, CCC-SLP

Speech-Language Pathologist • Martinez, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jane Coolidge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 28, 2008
NPI Deactivation Date February 18, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Jane Coolidge, MA, CCC-SLP was a registered Speech-Language Pathologist practicing in Martinez, GA. Throughout an active medical career spanning 13 years, Jane Coolidge provided care at the practice location at 302 BASTON ROAD until profile deactivation on 2021-02-18.

Practice Location & Contact Primary Location

Practice Address

302 Baston Road

Martinez, GA 30907

Telephone 7064478700
Fax 7064478701
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Martinez, GA

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

Practicing in Martinez, 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 SLP007301

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

3 Associated Practitioners
Dr. Maria Gangarosa-Emerson , PhD

Psychologist - Clinical

NPI 1144437989

Doctor of Philosophy (Ph.D.)

Nicole Danna , MSMFT

Marriage & Family Therapist

NPI 1891198750
Dr. Michelle Ferrell , PsyD

Psychologist - Clinical

NPI 1922628718

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 18, 2021

Record deactivated on February 18, 2021

NPI Profile Active January 13, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 13, 2012

Registered at 302 BASTON ROAD, MARTINEZ, GA 30907 (Tel: 7064478700)

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Updated Business Mailing Address January 13, 2012

Registered at 302 BASTON ROAD, MARTINEZ, GA 30907 (Tel: 7064478700)

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Provider Name / Credentials Updated January 13, 2012

Recorded as JANE COOLIDGE, M.A., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2012

Speech-Language Pathologist (License #SLP007301 in GA)

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Initial NPI Registration & Enumeration August 28, 2008

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: 1457509713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2008
Last Update: January 13, 2012
Deactivation Date: February 18, 2021

Mailing Address

302 Baston Road

Martinez, GA 30907

Phone: 7064478700

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.