P Praxis·MD
● Active Type 1 · Individual

MRS. Jody Ann Moore

Speech-Language Pathologist·Tifton, GA· NPI 1700518958 · Enumerated 2022 · 3 years on NPI
Moore is 1 of 33 speech-language pathologist providers in Tifton and 1 of 5327 in Georgia.
NPI age
3 years
Enumerated 2022-06-27
Primary specialty
Speech-Language Pathologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-27
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
3 years
↓ 7 yr below median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-06Enumerated in NPPES
2022 2026

Where they practice

Practice location
405 Love Ave
Tifton, GA 317944403
📞 2294027188
Mailing address
2608 Murray Ave
Tifton, GA 317942823
📞 2293925753

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 #SLP003738 taxonomy 235Z00000X

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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