● Active Type 1 · Individual

Mary Grace Jaques, M.ED., CCC-SLP

Speech-Language Pathologist·Jefferson, GA· NPI 1710544119 · Enumerated 2019 · 7 years on NPI

Jaques is 1 of 11 speech-language pathologist providers in Jefferson and 1 of 5327 in Georgia.

NPI age

7 years

Enumerated 2019-05-22

Primary specialty

Speech-Language Pathologist

Licensed in

—

0 states

Status

Active

No deactivations on record

Last NPPES update

2019-05-22

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 5327 active speech-language pathologist providers in Georgia.

NPI age

7 years

↓ 3 yr below median (10 yr)

State licenses

1 state

4% of peers hold multiple states

Subspecialties

9% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-05Enumerated in NPPES

2019 2026

Where they practice

Practice location

40 Professional Dr

Jefferson, GA 305496333

📞 1141706367

Mailing address

475 Baldwin St Apt 14

Athens, GA 306055152

📞 7063991865

Additional practice locations

1 secondary location on file with NPPES.

Location 2

280 Gaines School Rd

Athens, GA 306053156

📞 7065487296 x29416

Specialties

Speech, Language and Hearing Service Providers › Speech-Language Pathologist

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...

taxonomy 235Z00000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new speech-language pathologist provider has been added in Jefferson in the last 180 days. See all →

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How to verify this provider

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