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Deactivated NPI 1407038730 Deactivated / Inactive NPI Female Practitioner

Joanna Fuller

Speech-Language Pathologist • Mccomb, 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, Joanna Fuller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 28, 2007
NPI Deactivation Date October 12, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Joanna Fuller was a registered Speech-Language Pathologist practicing in Mccomb, MS. Throughout an active medical career spanning 15 years, Joanna Fuller provided care at the practice location at 206 MARYLAND AVE until profile deactivation on 2022-10-12.

Practice Location & Contact Primary Location

Practice Address

206 Maryland Ave

Mccomb, MS 396483926

Telephone 6012504815
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mccomb, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
45 Specialists

Practicing in Mccomb, 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

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
Tosha Brown

Physical Therapy Assistant

NPI 1003062324
Felicia Skipper

Speech-Language Pathologist

NPI 1023223559
Judy Thibodeaux

Physical Therapist

NPI 1023225182
Jamie Russell

Occupational Therapist

NPI 1023282274
Felicia Murrah

Speech-Language Pathologist

NPI 1033326566
Mark Cobb

Physical Therapy Assistant

NPI 1053508150

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 12, 2022

Record deactivated on October 12, 2022

NPI Profile Active November 28, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 28, 2007

Registered at 206 MARYLAND AVE, MCCOMB, MS 396483926 (Tel: 6012504815)

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Updated Business Mailing Address November 28, 2007

Registered at 1615 ELM ST APT 2, FLOWOOD, MS 39232

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Provider Name / Credentials Updated November 28, 2007

Recorded as JOANNA FULLER

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2007

Speech-Language Pathologist

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Initial NPI Registration & Enumeration November 28, 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: 1407038730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2007
Last Update: November 28, 2007
Deactivation Date: October 12, 2022

Mailing Address

1615 Elm St Apt 2

Flowood, MS 39232

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.