Mrs Sherley Laurin Jackson, MS, CCC-SLP is a
Speech-language Pathologist based in Locust Grove, Georgia. Mrs Sherley Laurin Jackson is licensed to practice in Georgia (license number 010047) and her current practice location is
300 Lester Mill Rd, Locust Grove, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 480-0489.
NPI number for Mrs Sherley Laurin Jackson is 1942436829 and her current mailing address is 4047 Madison Acres Dr, Locust Grove, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942436829.
Healthcare Provider's Profile
| Full Name | Mrs Sherley Laurin Jackson |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 300 Lester Mill Rd, Locust Grove, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942436829
- Provider Enumeration Date: 06/05/2009
- Last Update Date: 09/15/2022
Medical Identifiers
Medical identifiers for Mrs Sherley Laurin Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942436829 | NPI | - | NPPES |
| 003230088A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 30732 (Florida) | Secondary |
| 235Z00000X | Speech-language Pathologist | 7074 (Louisiana) | Secondary |
| 235Z00000X | Speech-language Pathologist | 010047 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sherley Laurin Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Sherley Laurin Jackson, MS, CCC-SLP
4047 Madison Acres Dr,
Locust Grove, GA 30248-4375
Ph: (828) 399-0979 | Mrs Sherley Laurin Jackson, MS, CCC-SLP
300 Lester Mill Rd,
Locust Grove, GA 30248-5306
Ph: (404) 480-0489 |
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