TAWANNA C JACKSON (MSP,CCC-SLP) – Speech-Language Pathologist, NPI 1790841450

TAWANNA C JACKSON (MSP,CCC-SLP) is a healthcare provider. based in Lithonia, Georgia. specializing in Speech-Language Pathologist. They hold the professional credentials MSP,CCC-SLP. They hold a License No. SLP005500 (GA). The NPI Number for TAWANNA C JACKSON (MSP,CCC-SLP) is 1790841450

Main info

Female
Sole Proprietor
Name
TAWANNA C JACKSON (MSP,CCC-SLP)
NPI
1790841450
Phone
(770) 323-3002
Address
8075 MALL PKWY
Enumeration Date
28 December 2006
Last Update Date
9 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for TAWANNA C JACKSON (MSP,CCC-SLP)

  • 8075 MALL PKWY

    SUITE 101-332

    LITHONIA, GA 300386993

    Phone: (770) 323-3002

    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

Source: CMS public data · Not endorsed by CMS ·

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

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

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

Insurance plans in this area (ZIP 30038)

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Frequently asked questions

How is TAWANNA C JACKSON (MSP,CCC-SLP) identified in CMS data?
CMS-hosted NPPES data lists TAWANNA C JACKSON (MSP,CCC-SLP) with NPI 1790841450.
Does CMS list TAWANNA C JACKSON (MSP,CCC-SLP) as active?
Yes — TAWANNA C JACKSON (MSP,CCC-SLP) is active in the NPI listing used on this page.
What healthcare role does TAWANNA C JACKSON (MSP,CCC-SLP) hold?
Scheduling teams often label TAWANNA C JACKSON (MSP,CCC-SLP) under Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where should I expect TAWANNA C JACKSON (MSP,CCC-SLP) on a map?
Expect Lithonia, Georgia as a primary anchor for TAWANNA C JACKSON (MSP,CCC-SLP) unless the record lists multiple sites.
Why does TAWANNA C JACKSON (MSP,CCC-SLP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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