P Praxis·MD
● Active Type 1 · Individual

MS. Kendall Jackson, SLP

Speech-Language Pathologist·East Point, GA· NPI 1477818342 · Enumerated 2012 · 13 years on NPI
Jackson is 1 of 28 speech-language pathologist providers in East Point and 1 of 5327 in Georgia.
NPI age
13 years
Enumerated 2012-07-06
Primary specialty
Speech-Language Pathologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-18
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
13 years
↑ 3 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES
2012 2026

Where they practice

Practice location
3485 N Desert Dr Ste 105
East Point, GA 303445724
📞 6787247033fax 6783027357
Mailing address
3460 Somerset Trl Sw
Atlanta, GA 303317935
📞 8643237445

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 #SLP008103 taxonomy 235Z00000X

Identifiers

TypeValueNotes
05 (GA) 003126519G

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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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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