Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972461184 Individual Practitioner Female Practitioner

Addie Grace Fetcko

Speech-Language Pathologist • Macon, MS

Professional Overview & Biography Verified Profile Summary

Addie Fetcko 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

CMS Verified: 2026-01-14
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MS S-5356

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 January 14, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2026

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

📍
Updated Business Mailing Address January 14, 2026

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

👤
Provider Name / Credentials Updated January 14, 2026

Recorded as ADDIE FETCKO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2026

Speech-Language Pathologist (License #S-5356 in MS)

🟢
Initial NPI Registration & Enumeration January 14, 2026

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: 1972461184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2026
Last Update: January 14, 2026
Sole Proprietor: No

Mailing Address

78 Hospital Rd

Macon, MS 393412490

Phone: 6627264231

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.