NPI age
19 years
Enumerated 2006-07-17
● Active
Type 1 · Individual
MRS. Kelly Green Jackson, S.L.P.
Jackson is 1 of 3 speech-language pathologist providers in Lake Park and 1 of 5327 in Georgia.
Primary specialty
Speech-Language Pathologist
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 5327 active speech-language pathologist providers in Georgia.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
5314 Moss Oak Trl
Lake Park, GA 316363300
Mailing address
5314 Moss Oak Trl
Lake Park, GA 316363300
Specialties
-
Speech-Language Pathologist PrimaryThe 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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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