CELESTE JACKSON (NPI# 1255389649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255389649 |
| Entity Type | Individual |
| Full Name | CELESTE JACKSON |
| Practice Address |
4220 Stackstone Dr Cumming GA 30041-5644 |
| Practice Telephone | 4046419019 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP004817 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00836998B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043447410 | Celeste T. Jackson | Family Medicine | 1204 E Fire Tower Rd, Ecu Physicians Firetower Medical Office, Greenville, NC 27858-4196 | 2009-06-12 |
| 1720180409 | Celeste M Jackson | Nurse Practitioner | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-09-02 |
| Street Address |
4220 STACKSTONE DR |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750339537 | Baby Talk Therapies, Inc. | Speech-Language Pathologist | 4220 Stackstone Dr, Cumming, GA 30041-5644 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184196 | Courtney Irene Orlosky | Speech-Language Pathologist | 2015 Goldmine Dr, Cumming, GA 30040-4418 | 2020-08-10 |
| 1881202992 | Kerri Aune | Speech-Language Pathologist | 3117 Columns Dr, Cumming, GA 30041-0502 | 2020-07-15 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1609308923 | Jamie Lee Suttles | Speech-Language Pathologist | 2450 Atlanta Highway, Suite 1001, Cumming, GA 30040 | 2017-03-28 |
| 1033576319 | Jodie Vaughn Brown | Speech-Language Pathologist | 785 Sienna Dr, Cumming, GA 30040-1001 | 2016-01-18 |
| 1770961104 | Sage Therapy LLC | Speech-Language Pathologist | 2485 Vistoria Dr, Cumming, GA 30041-1579 | 2015-05-18 |
| 1215335575 | Katherine Owens | Speech-Language Pathologist | 7125 Meadow Brook Ct, Cumming, GA 30040-7390 | 2014-12-18 |
| 1144626367 | Ilyana R. Morales | Speech-Language Pathologist | 4116 Preston Pointe Way, Cumming, GA 30041-6145 | 2014-11-16 |
| 1518373331 | Kristin Anderson Hill | Speech-Language Pathologist | 769 Peachtree Pkwy, Suite 1, Cumming, GA 30041-9349 | 2014-07-02 |
| 1811319270 | Mitzi Lynn Leahy | Speech-Language Pathologist | 865 Timber Lake Trl, Cumming, GA 30041-8608 | 2014-01-20 |
| Find all providers in CUMMING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.