Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053438325 Individual Practitioner Female Practitioner

Roberta W Edwards , SPEECH PATHOLOGIST

Speech-Language Pathologist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Roberta Edwards, SPEECH PATHOLOGIST is a registered healthcare professional specializing in Speech-Language Pathologist in Jackson, MS. Practice services are available at 4607 LINDBERGH DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4607 Lindbergh Dr

Jackson, MS 392093855

Telephone 6012036378
Fax 6012036379
Associated Practice Facility / Clinic
🏢 State Veterans Affairs Board Facility NPI 1962999789

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
130 Specialists

Practicing in Jackson, 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: 2022-01-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MS S2373

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
07071013 (MS)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Abbie Joiner , PT

Physical Therapist

NPI 1447774617

Physical Therapist

Torrey Robinson , CCC-SLP

Speech-Language Pathologist

NPI 1659111565

Speech-Language Pathologist (Certificate of Clinical Competence)

Candace Mcfarland , PTA

Physical Therapy Assistant

NPI 1740785864

Physical Therapist Assistant

Lauren Stuart , PTA

Physical Therapy Assistant

NPI 1922504661

Physical Therapist Assistant

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 06, 2022

Registered at 4607 LINDBERGH DR, JACKSON, MS 392093855 (Tel: 6012036378)

📍
Updated Business Mailing Address January 06, 2022

Registered at 711 AVIGNON DR, RIDGELAND, MS 391575120 (Tel: 6016056777)

👤
Provider Name / Credentials Updated January 06, 2022

Recorded as ROBERTA EDWARDS, SPEECH PATHOLOGIST

NPI Profile Active February 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2010

Registered at 130 PARKWAY PLZ, KOSCIUSKO, MS 390903217 (Tel: 6622893588)

📍
Updated Business Mailing Address February 11, 2010

Registered at 130 PARKWAY PLZ, KOSCIUSKO, MS 390903217 (Tel: 6622893588)

👤
Provider Name / Credentials Updated February 11, 2010

Recorded as ROBERTA WATKINS, SPEECH PATHOLOGIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2010

Speech-Language Pathologist (License #S2373 in MS)

🟢
Initial NPI Registration & Enumeration March 23, 2007

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: 1053438325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2007
Last Update: January 06, 2022
Sole Proprietor: No

Mailing Address

711 Avignon Dr

Ridgeland, MS 391575120

Phone: 6016056777

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.