P Praxis·MD
● Active Type 1 · Individual

MRS. Jessica Niederkorn, M.A., CCC-SLP

Speech-Language Pathologist·Perry, GA· NPI 1366444846 · Enumerated 2005 · 20 years on NPI
Niederkorn is 1 of 40 speech-language pathologist providers in Perry and 1 of 5327 in Georgia.
NPI age
20 years
Enumerated 2005-08-15
Primary specialty
Speech-Language Pathologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-30
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
20 years
↑ 10 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
4034 Roundtop Cir
Perry, GA 310697806
📞 4787180573
Mailing address
4034 Roundtop Cir
Perry, GA 310697806
📞 4787180573

Specialties

  • Speech-Language Pathologist Primary
    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...
    GA license #SLP005748 taxonomy 235Z00000X

Identifiers

TypeValueNotes
05 (GA) 639235193K

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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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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