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JACLYN MICHELLE CASERTA SLP
NPI 1114488434
Speech-Language Pathologist in Kennesaw, GA

Active since March 28, 2019
2110 MOON STATION DR NW, KENNESAW, GA 30144(627) 770-2267 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jaclyn Michelle Caserta Slp NPPES

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

JACLYN MICHELLE CASERTA SLP (NPI 1114488434) is an individual speech-language pathologist provider in Kennesaw, Georgia, licensed in Georgia (SLP010583) and active in the NPI registry since March 2019. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1114488434
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACLYN MICHELLE CASERTACredential: SLP
Location Address2110 MOON STATION DR NWKennesaw, GA 30144-2759
Mailing Address2110 Moon Station Dr NwKennesaw, GA 30144-2759 · (627) 770-2267
Phone(627) 770-2267
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 28, 2019
Last NPPES UpdateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
✔ NPI 1114488434 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
Licenses✔ Licensed in GA · SLP010583✔ Licensed in NC · 13415
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.
2110 MOON STATION DR NW, Kennesaw, GA 30144
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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)

Jaclyn Michelle Caserta Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658852629
PECOS Enrollment IDI20260226004398

Medicare Billing Reassignment

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

Fox Rehabilitation Ga, LLC
16 mi
Physical Therapist
1260 HIGHTOWER TRL
Atlanta, GA 30350
  • Reassigned Medicare billing, Georgia enrollment
  • 220 clinicians in this Medicare group
NPI 1023544624 (877) 407-3422

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 11

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

SAVANNAH VASQUEZ BCBA
Behavior Analyst
2110 MOON STATION DR NW
KENNESAW, GA 30144
Cobb County (770) 339-3475
ARIANA MICHELLE GATTI BCBA
Behavior Analyst
2110 MOON STATION DR NW
KENNESAW, GA 30144
Cobb County (770) 339-3475
COURTNEY MARIE HYER BCBA
Behavior Analyst
2110 MOON STATION DR NW
KENNESAW, GA 30144
Cobb County (770) 627-2267
APPLESEEDS LEARNING CENTER, INC.
Behavior Analyst
2110 MOON STATION DR NW
KENNESAW, GA 30144
Cobb County (770) 627-2267
ALEXANDRA WELLMAN BCBA
Behavior Analyst
2110 MOON STATION DR NW
KENNESAW, GA 30144
Cobb County (770) 339-3475
MOLLY MORGAN JONES BCBA
Behavior Analyst
2110 MOON STATION DR NW
KENNESAW, GA 30144
Cobb County (770) 627-2267
MORGAN BOEHN M.ED. CCC-SLP
Speech-Language Pathologist
2110 MOON STATION DR NW
KENNESAW, GA 30144
Cobb County (770) 627-2267
RACHEL DARCH
Behavior Analyst
2110 MOON STATION DR NW
KENNESAW, GA 30144
Cobb County (770) 339-3475

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 Jaclyn Caserta's NPI number?

The NPI number for Jaclyn Caserta is 1114488434. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Jaclyn Caserta located?

Jaclyn Caserta practices at 2110 Moon Station Dr NW, Kennesaw, GA 30144. The listed phone number is (627) 770-2267.

What is Jaclyn Caserta's specialty?

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

Is Jaclyn Caserta enrolled in Medicare?

Yes. Jaclyn Caserta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Caserta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Caserta reassigns Medicare benefits to Fox Rehabilitation Ga, LLC (Atlanta, GA). 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 Jaclyn Caserta'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 Jaclyn Caserta was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.