Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114973559 Individual Practitioner Female Practitioner

Tara Michele Jackson , MA, CCC-SLP

Speech-Language Pathologist • Charlotte, NC

Professional Overview & Biography Verified Profile Summary

Tara Jackson, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Charlotte, NC. Practice services are available at 3403 LINDEN BERRY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3403 Linden Berry Ln

Charlotte, NC 282691300

Telephone 7042581724
Fax 7045983024
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Charlotte, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
698 Specialists

Practicing in Charlotte, NC (7242 Statewide)

Telehealth Adoption Rate
0.1% 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 NC 5772

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
7412438 (NC)

Practice Associates & Co-Workers

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

14 Associated Practitioners
Margaret Stewart , MS, CCC-SLP

Speech-Language Pathologist

NPI 1023327129

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

Lindsey Pryor , MA CCC-SLP

Speech-Language Pathologist

NPI 1154621621

MACCCSLP

Wendy Teal , CCC-SLP

Speech-Language Pathologist

NPI 1215913645

Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1275833881

Occupational Therapist Registered, L

Amy Austin , MS, CCC-SLP

Speech-Language Pathologist

NPI 1336284009

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

Kathleen Dougherty , CCC-SLP

Speech-Language Pathologist

NPI 1336484575

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 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2011

Registered at 3403 LINDEN BERRY LN, CHARLOTTE, NC 282691300 (Tel: 7042581724)

📍
Updated Business Mailing Address July 02, 2011

Registered at 3403 LINDEN BERRY LANE, CHARLOTTE, NC 282691300 (Tel: 7048982437)

👤
Provider Name / Credentials Updated July 02, 2011

Recorded as TARA JACKSON, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2011

Speech-Language Pathologist (License #5772 in NC)

🟢
Initial NPI Registration & Enumeration May 26, 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: 1114973559
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2006
Last Update: July 02, 2011
Sole Proprietor: Yes

Mailing Address

3403 Linden Berry Lane

Charlotte, NC 282691300

Phone: 7048982437

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.