Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023039906 Individual Practitioner Female Practitioner

Stacey Leigh Mathis , MS, CCC-SLP

Speech-Language Pathologist • Olive Branch, MS

Professional Overview & Biography Verified Profile Summary

Stacey Mathis, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Olive Branch, MS. Practice services are available at 5600 GOODMAN RD STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5600 Goodman Rd Ste D

Olive Branch, MS 386547002

Telephone 6628954545
Fax 6628954546

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Olive Branch, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Olive Branch, 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 S2304

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
09877809 (MS)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Kendra Deberry , PTA

Physical Therapy Assistant

NPI 1104847094

Physical Therapist Assistant

Melissa Slade , MOT, OTR, L

Occupational Therapist

NPI 1346263233

Master of Occupational Therapy, Occupational Therapist Registered, L

Jennifer Durley , PT

Physical Therapist

NPI 1467473371

Physical Therapist

Stacey Mueller , OTR, L

Occupational Therapist

NPI 1629091590

Occupational Therapist Registered, L

Dr. Robin Smith , PT, DPT

Physical Therapist - Pediatrics

NPI 1669496451

Physical Therapist, Doctor of Physical Therapy

Alisha Comer , MS, CCC-SLP

Speech-Language Pathologist

NPI 1700807690

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5600 GOODMAN RD STE D, OLIVE BRANCH, MS 386547002 (Tel: 6628954545)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5600 GOODMAN RD STE D, OLIVE BRANCH, MS 386547002 (Tel: 6628954545)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACEY MATHIS, MS,CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #S2304 in MS)

🟢
Initial NPI Registration & Enumeration July 23, 2006

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: 1023039906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

5600 Goodman Rd Ste D

Olive Branch, MS 386547002

Phone: 6628954545

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.