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Deactivated NPI 1770985608 Deactivated / Inactive NPI Female Practitioner

Jalisa Yellock , MED, CCC-SLP

Speech-Language Pathologist • Garner, NC

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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, Jalisa Yellock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 23, 2014
NPI Deactivation Date February 06, 2025
Total Practice Duration ~11 Years of Practice (2014 – 2025)

Professional Overview & Biography Verified Profile Summary

Jalisa Yellock, MED, CCC-SLP was a registered Speech-Language Pathologist practicing in Garner, NC. Throughout an active medical career spanning 11 years, Jalisa Yellock provided care at the practice location at 155 ASHLYN RIDGE DR until profile deactivation on 2025-02-06.

Practice Location & Contact Primary Location

Practice Address

155 Ashlyn Ridge Dr

Garner, NC 275293363

Telephone 4046807055

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Garner, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
40 Specialists

Practicing in Garner, NC (7242 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 NC 14052388

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.

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 February 06, 2025

Record deactivated on February 06, 2025

NPI Profile Active September 23, 2014

NPI status registered as active in NPPES database

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Updated Practice Location September 23, 2014

Registered at 155 ASHLYN RIDGE DR, GARNER, NC 275293363 (Tel: 4046807055)

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Updated Business Mailing Address September 23, 2014

Registered at 155 ASHLYN RIDGE DR, GARNER, NC 275293363

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Provider Name / Credentials Updated September 23, 2014

Recorded as JALISA YELLOCK, M.ED,CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2014

Speech-Language Pathologist (License #14052388 in NC)

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Initial NPI Registration & Enumeration September 23, 2014

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: 1770985608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2014
Last Update: September 23, 2014
Deactivation Date: February 06, 2025

Mailing Address

155 Ashlyn Ridge Dr

Garner, NC 275293363

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.