DEMETRIA JACKSON (CCC-SLP) – Speech-Language Pathologist, NPI 1790005791

DEMETRIA JACKSON (CCC-SLP) is a healthcare provider. based in Brunswick, Georgia. specializing in Speech-Language Pathologist. They hold the professional credentials CCC-SLP. They hold a License No. SLP007195 (GA). The NPI Number for DEMETRIA JACKSON (CCC-SLP) is 1790005791

Main info

Female
Sole Proprietor
Name
DEMETRIA JACKSON (CCC-SLP)
NPI
1790005791
Phone
(912) 689-4382
Address
157 CORAL DR
Enumeration Date
2 June 2010
Last Update Date
4 February 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for DEMETRIA JACKSON (CCC-SLP)

  • 157 CORAL DR

    BRUNSWICK, GA 315238951

    Phone: (912) 689-4382

    Fax: (888) 875-2884

    Type: Location

  • 4144 COBBLESTONE PARK DR

    MILLEDGEVILLE, GA 310616658

    Phone: (478) 353-5620

    Fax: (888) 596-0463

    Type: Mailing

  • PO BOX 2246

    BRUNSWICK, GA 315212246

    Phone: (912) 689-4382

    Fax: (888) 875-2884

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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 31523)

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Reviews

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Frequently asked questions

How do I look up DEMETRIA JACKSON (CCC-SLP) by NPI?
Use NPI 1790005791 when you need to reference DEMETRIA JACKSON (CCC-SLP) in forms, claims, or directories.
Does this profile mean DEMETRIA JACKSON (CCC-SLP) is currently active?
Yes — DEMETRIA JACKSON (CCC-SLP) appears active in the national provider directory.
Does DEMETRIA JACKSON (CCC-SLP) list a primary specialty?
If you are matching referrals, note Speech-Language Pathologist for DEMETRIA JACKSON (CCC-SLP). Clinical services aligned with this taxonomy classification.
Does DEMETRIA JACKSON (CCC-SLP) practice in Georgia?
You will see Brunswick, Georgia on file for DEMETRIA JACKSON (CCC-SLP) alongside any extra practice locations.
What if Brunswick, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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