Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699201715 Individual Practitioner Female Practitioner

Leisa Annette Mccullough , CCC-SLP

Speech-Language Pathologist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Leisa Mccullough, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jackson, MS. Practice services are available at 2500 N STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 N State St

Jackson, MS 392164500

Telephone 6623978964
Associated Practice Facility / Clinic

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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MS S3909

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

40 Associated Practitioners
Dr. Lamar Davis , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1003006206

Doctor of Medicine (M.D.)

NPI 1003014606

Doctor of Medicine (M.D.)

NPI 1003062605

Doctor of Medicine (M.D.)

Dr. Mary Kinney Corley , MD

Obstetrics & Gynecology

NPI 1003070863

Doctor of Medicine (M.D.)

Dr. Laura Vearrier , MD

Emergency Medicine

NPI 1003076035

Doctor of Medicine (M.D.)

NPI 1003103342

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2017

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6623978964)

📍
Updated Business Mailing Address May 10, 2017

Registered at 144 HUBER ST, MADISON, MS 391106983 (Tel: 6623978964)

👤
Provider Name / Credentials Updated May 10, 2017

Recorded as LEISA MCCULLOUGH, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Speech-Language Pathologist (License #S3909 in MS)

🟢
Initial NPI Registration & Enumeration May 10, 2017

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: 1699201715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2017
Last Update: May 10, 2017
Sole Proprietor: Yes

Mailing Address

144 Huber St

Madison, MS 391106983

Phone: 6623978964

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.