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Deactivated NPI 1063101095 Deactivated / Inactive NPI Female Practitioner

Tiffany Clarke , MS, CCC-SLP

Speech-Language Pathologist • Flowood, MS

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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, Tiffany Clarke has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 04, 2023
NPI Deactivation Date June 12, 2023
Total Practice Duration ~1 Years of Practice (2023 – 2023)

Professional Overview & Biography Verified Profile Summary

Tiffany Clarke, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Flowood, MS. Throughout an active medical career spanning 1 years, Tiffany Clarke provided care at the practice location at 643 LAKELAND EAST DR STE A until profile deactivation on 2023-06-12.

Practice Location & Contact Primary Location

Practice Address

643 Lakeland East Dr Ste A

Flowood, MS 392329032

Telephone 6018247020

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Flowood, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Flowood, MS (1519 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: 2025-03-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MS S5092

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

12 Historical Events
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Updated Practice Location March 04, 2025

Registered at 643 LAKELAND EAST DR STE A, FLOWOOD, MS 392329032 (Tel: 6018247020)

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Updated Business Mailing Address March 04, 2025

Registered at 643 LAKELAND EAST DR STE A, FLOWOOD, MS 392329032 (Tel: 6018247020)

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Provider Name / Credentials Updated March 04, 2025

Recorded as TIFFANY CLARKE, M.S., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2025

Speech-Language Pathologist (License #S5092 in MS)

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NPI Profile Deactivated June 12, 2023

Record deactivated on June 12, 2023

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Provider Name / Credentials Updated May 30, 2023

Recorded as TIFFANY CLARKE, MS, CF-SLP

NPI Profile Active May 04, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 04, 2023

Registered at 102 LEXINGTON DR STE B, MADISON, MS 391106952 (Tel: 6015214934)

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Updated Business Mailing Address May 04, 2023

Registered at 115 AULENBROCK DR BLDG 100, CANTON, MS 390467061 (Tel: 6015214934)

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Provider Name / Credentials Updated May 04, 2023

Recorded as TIFFANY CLARKE

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2023

Speech-Language Pathologist

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Initial NPI Registration & Enumeration May 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: 1063101095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2023
Last Update: March 04, 2025
Deactivation Date: June 12, 2023
Sole Proprietor: No

Mailing Address

643 Lakeland East Dr Ste A

Flowood, MS 392329032

Phone: 6018247020

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.