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Active NPI 1538678263 Individual Practitioner Female Practitioner

Kimberly Paige Peterson , SLP

Speech-Language Pathologist • Macon, MS

Professional Overview & Biography Verified Profile Summary

Kimberly Peterson, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Macon, MS. Practice services are available at 78 HOSPITAL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

78 Hospital Rd

Macon, MS 393412490

Telephone 6627264231
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Macon, MS

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

Practicing in Macon, 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 S4267

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

10 Associated Practitioners
Traveus Garth

Physical Therapy Assistant

NPI 1053819649
Janice Robertson , CFNP

Nurse Practitioner - Family

NPI 1073831327
Brooke Wells

Occupational Therapist

NPI 1114505054
Dr. James Medlin , MD

Family Medicine

NPI 1164539599

Doctor of Medicine (M.D.)

Taylor Nanni , OTR, L

Occupational Therapist

NPI 1205681335

Occupational Therapist Registered, L

Kaci Jackson

Physical Therapist

NPI 1255992525

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2017

Registered at 78 HOSPITAL RD, MACON, MS 393412490 (Tel: 6627264231)

📍
Updated Business Mailing Address September 26, 2017

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

👤
Provider Name / Credentials Updated September 26, 2017

Recorded as KIMBERLY PETERSON, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2017

Speech-Language Pathologist (License #S4267 in MS)

🟢
Initial NPI Registration & Enumeration September 26, 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: 1538678263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2017
Last Update: September 26, 2017
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.