MRS. JESSICA NIEDERKORN (M.A., CCC-SLP) – Speech-Language Pathologist, NPI 1366444846

Speech-Language Pathologist

MRS. JESSICA NIEDERKORN (M.A., CCC-SLP) is a healthcare provider. based in Perry, Georgia. specializing in Speech-Language Pathologist. They hold the professional credentials M.A., CCC-SLP. They hold a License No. SLP005748 (GA). The NPI Number for MRS. JESSICA NIEDERKORN (M.A., CCC-SLP) is 1366444846

Main info

Female

Sole Proprietor

Name

MRS. JESSICA NIEDERKORN (M.A., CCC-SLP)

NPI

1366444846

Phone

(478) 718-0573

Address

4034 ROUNDTOP CIR

Enumeration Date

15 August 2005

Deactivation Date

22 March 2006

Reactivation Date

12 April 2006

Last Update Date

30 June 2022

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MRS. JESSICA NIEDERKORN (M.A., CCC-SLP)

4034 ROUNDTOP CIR
PERRY, GA 310697806
Phone: (478) 718-0573
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31069)

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Reviews

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Frequently asked questions

What unique ID ties claims to MRS. JESSICA NIEDERKORN (M.A., CCC-SLP)?

NPI 1366444846 is assigned to MRS. JESSICA NIEDERKORN (M.A., CCC-SLP) under the national enumeration system.

Is MRS. JESSICA NIEDERKORN (M.A., CCC-SLP)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

Does MRS. JESSICA NIEDERKORN (M.A., CCC-SLP) list a primary specialty?

If you are matching referrals, note Speech-Language Pathologist for MRS. JESSICA NIEDERKORN (M.A., CCC-SLP). Clinical services aligned with this taxonomy classification.

Does MRS. JESSICA NIEDERKORN (M.A., CCC-SLP) practice in Georgia?

You will see Perry, Georgia on file for MRS. JESSICA NIEDERKORN (M.A., CCC-SLP) alongside any extra practice locations.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.