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JACQUELINE F DORRY M.S. CCC-SLP
NPI 1053679118
Speech-Language Pathologist in Mount Airy, NC

Active since April 26, 2012
711 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030(855) 983-0488 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline F Dorry M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE F DORRY M.S. CCC-SLP (NPI 1053679118) is an individual speech-language pathologist provider in Mount Airy, North Carolina, licensed in North Carolina (9910) and active in the NPI registry since April 2012. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1053679118
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACQUELINE F DORRYCredential: M.S. CCC-SLP
Location Address711 W INDEPENDENCE BLVDMount Airy, NC 27030-3576
Mailing Address4008 Saint Edmunds LnApex, NC 27539-9790 · (919) 267-0362
Phone(855) 983-0488
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 26, 2012
Last NPPES UpdateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1053679118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NC · 9910
Definition
The 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 geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
711 W INDEPENDENCE BLVD, Mount Airy, NC 27030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline F Dorry M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204301039
PECOS Enrollment IDI20260409002157

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Dorry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kidology, Inc
78 mi
Physical Therapist
1244 N FLINT STREET
Lincolnton, NC 28092
  • Reassigned Medicare billing, North Carolina enrollment
  • 55 clinicians in this Medicare group
NPI 1730591991 (855) 983-0488

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALEE LAMBERT OTR/L
Occupational Therapist (Pediatrics)
711 W INDEPENDENCE BLVD
MOUNT AIRY, NC 27030
Surry County (855) 983-0488
DANIELLE ELIZABETH GROSS
Speech-Language Pathologist
711 W INDEPENDENCE BLVD
MOUNT AIRY, NC 27030
Surry County (855) 983-0488
ASHTON WHITE OTR/L
Occupational Therapist
711 W INDEPENDENCE BLVD
MOUNT AIRY, NC 27030
Surry County (855) 983-0488
MALLORY VAUGHN BUKAS
Speech-Language Pathologist
711 W INDEPENDENCE BLVD
MOUNT AIRY, NC 27030
Surry County (855) 983-0488
NATALEE JONES OTD, OTR/L
Occupational Therapist (Pediatrics)
711 W INDEPENDENCE BLVD
MOUNT AIRY, NC 27030
Surry County (855) 983-0488
HANNAH BLEDSOE PT, DPT
Physical Therapist
711 W INDEPENDENCE BLVD
MOUNT AIRY, NC 27030
Surry County (855) 983-0488
KAITLYN CALDWELL
Speech-Language Pathologist
711 W INDEPENDENCE BLVD
MOUNT AIRY, NC 27030
Surry County (855) 983-0488
CHARLOTTE DRAPER SMITH
Speech-Language Pathologist
711 W INDEPENDENCE BLVD
MOUNT AIRY, NC 27030
Surry County (855) 983-0488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Dorry's NPI number?

The NPI number for Jacqueline Dorry is 1053679118. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Jacqueline Dorry located?

Jacqueline Dorry practices at 711 W Independence Blvd, Mount Airy, NC 27030. The listed phone number is (855) 983-0488.

What is Jacqueline Dorry's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jacqueline Dorry enrolled in Medicare?

Yes. Jacqueline Dorry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Dorry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Dorry reassigns Medicare benefits to Kidology, Inc (Lincolnton, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Dorry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Dorry was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.