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CODIE JACLYN GREEN
NPI 1225769482
Speech-Language Pathologist in Sumrall, MS

Active since June 20, 2022
668 OLD SALT RD, SUMRALL, MS 39482(601) 270-6968(601) 336-5255 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Codie Jaclyn Green NPPES

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

CODIE JACLYN GREEN (NPI 1225769482) is an individual speech-language pathologist provider in Sumrall, Mississippi, licensed in Mississippi (S-4294) and active in the NPI registry since June 2022. She maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1225769482
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCODIE JACLYN GREEN
Location Address668 OLD SALT RDSumrall, MS 39482-4232
Mailing Address17 E CherrySumrall, MS 39482-0400
Phone(601) 270-6968
Fax(601) 336-5255
Sole ProprietorYes
Enumeration DateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1225769482 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 MS · S-4294
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.
668 OLD SALT RD, Sumrall, MS 39482
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Secondary Practice Location 1

Location 14805 W 4th StHattiesburg, MS 39402-1019 · Phone (601) 270-6968 · Fax (601) 336-5255

Other Providers at the Same Location NPPES 5

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

SKYLAR MICHELLE ODOM
Speech-Language Pathologist
668 OLD SALT RD
SUMRALL, MS 39482
Lamar County (601) 270-6968
MISS JESSICA RENEE PARKER M.S.
Speech-Language Pathologist
668 OLD SALT RD
SUMRALL, MS 39482
Lamar County (601) 758-0982
SHELBY HERNDON GRAVES COTA
Occupational Therapy Assistant
668 OLD SALT RD
SUMRALL, MS 39482
Lamar County (601) 270-6968
AULTMAN SPEECH THERAPY SERVICES, LLC
Speech-Language Pathologist
668 OLD SALT RD
SUMRALL, MS 39482
Lamar County (601) 270-6968
KARLEY CLINTON MA, CF-SLP
Speech-Language Pathologist
668 OLD SALT RD
SUMRALL, MS 39482
Lamar County (601) 270-6968

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 Codie Green's NPI number?

The NPI number for Codie Green is 1225769482. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Codie Green located?

Codie Green practices at 668 Old Salt Rd, Sumrall, MS 39482. The listed phone number is (601) 270-6968.

What is Codie Green's specialty?

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

When was this NPI record last updated?

The NPPES record for Codie Green was last updated on June 20, 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.