NPI age
15 years
Enumerated 2011-03-07
● Active
Type 1 · Individual
Tracy Ann Jackson, M.S., CCC-SLP
Jackson is 1 of 104 speech-language pathologist providers in Cumming and 1 of 5327 in Georgia.
Primary specialty
Speech-Language Pathologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-03-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5327 active speech-language pathologist providers in Georgia.
NPI age
15 years
↑ 5 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-03Enumerated in NPPES
2011
2026
Where they practice
Practice location
6395 Polo Club Dr
Cumming, GA 300405716
Mailing address
6395 Polo Club Dr
Cumming, GA 300405716
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 01069022 | ASHA (SPEECH-LANGUAGE CERTIFICATION) |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new speech-language pathologist providers have been added in Cumming in the last 180 days.
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- 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.