MRS. JORDAN KENDRICK SIMMONS GILLIGAN (NPI# 1811323488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811323488 |
| Entity Type | Individual |
| Full Name | MRS. JORDAN KENDRICK SIMMONS GILLIGAN |
| Other Name | MS. JORDAN KENDRICK SIMMONS |
| Credential | MS, CCC-SLP |
| Practice Address |
2655 Dallas Hwy Sw Suite 320 Marietta GA 30064-7579 |
| Mailing Address |
2655 Dallas Hwy Sw Suite 320 Marietta GA 30064-2597 |
| Practice Telephone | 8282003503 |
| Practice Fax Number | 6783847495 |
| Mailing Telephone | 8282003503 |
| Mailing Fax Number | 6783847495 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP007962 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00609056G | 05 |
| Street Address |
2655 DALLAS HWY SW SUITE 320 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-7579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740212240 | Mohsin M. Hisamuddin | Internal Medicine | 2655 Dallas Hwy Sw, Suite 340, Marietta, GA 30064-2597 | 2006-07-06 |
| 1255867164 | Kimbro Henson Burnett | Counselor | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2017-05-11 |
| 1790219103 | Ps Dds | Dentist | 2655 Dallas Hwy Sw, 510, Marietta, GA 30064-2597 | 2017-04-13 |
| 1851765994 | Tara Haynes Jiminez | Counselor | 2655 Dallas Hwy Sw, Suite 520, Marietta, GA 30064-2597 | 2015-11-29 |
| 1134500598 | Heidi Zaffos | Counselor | 2655 Dallas Hwy Sw, Suite 240, Marietta, GA 30064-2597 | 2015-06-11 |
| 1730427063 | Mark Ellison | Marriage & Family Therapist | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2013-01-22 |
| 1003183492 | Teresa Cress | Counselor | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2011-11-29 |
| 1518243724 | Christina Ann Hunt | Speech-Language Pathologist | 2655 Dallas Hwy Sw, Suite 320, Marietta, GA 30064-2597 | 2011-11-01 |
| 1861799629 | William Edward Adams | Counselor | 2655 Dallas Hwy Sw, Suite 610, Marietta, GA 30064-2597 | 2011-02-14 |
| 1063717197 | Patrice Eustache Jucks | Counselor | 2655 Dallas Hwy Sw, Ste 530, Marietta, GA 30064-2597 | 2011-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| 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 |
|---|---|---|---|---|
| 1720699911 | Mebe Georgia, LLC | Speech-Language Pathologist | 2500 Dallas Hwy Sw Ste 202, Marietta, GA 30064-7505 | 2020-08-12 |
| 1063020006 | Rebecca Henning | Speech-Language Pathologist | 1850 Kerry Creek Dr, Marietta, GA 30066-4365 | 2020-07-15 |
| 1639729882 | Bianca Moragne | Speech-Language Pathologist | 2655 Dallas Hwy Sw Ste 320, Marietta, GA 30064-7518 | 2019-09-18 |
| 1801440581 | Jennifer Roberts | Speech-Language Pathologist | 2602 Chimney Springs Dr, Marietta, GA 30062-6317 | 2019-07-30 |
| 1780248476 | Rachael Alsup Burns | Speech-Language Pathologist | 540 Powder Springs St Ste C20, Marietta, GA 30064-3561 | 2019-04-28 |
| 1063900710 | Katelyn Victoria Martino | Speech-Language Pathologist | 1880 W Oak Pkwy Ste 101, Marietta, GA 30062-2274 | 2018-04-27 |
| 1932616877 | Lauren Ashley Shields | Speech-Language Pathologist | 2430 Stockton Dr, Marietta, GA 30066-2142 | 2017-12-31 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1437676285 | Jamie Lynn Burg | Speech-Language Pathologist | 310 Amanda Ct, Marietta, PA 17547-9216 | 2017-08-23 |
| 1144750357 | Jill Marie Cox | Speech-Language Pathologist | 1425 Fenwick Dr Sw, Marietta, GA 30064-2793 | 2017-06-20 |
| Find all providers in MARIETTA | ||||
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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.