Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. TRACIE MOORE JACKSON M.ED., CCC-SLP
NPI 1275432171
Speech-Language Pathologist in Cumming, GA

Active since November 05, 2026
3740 MELODY MIZER LN, CUMMING, GA 30041(770) 888-1222 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Tracie Moore Jackson M.ed., Ccc-slp NPPES

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

MRS. TRACIE MOORE JACKSON M.ED., CCC-SLP (NPI 1275432171) is an individual speech-language pathologist provider in Cumming, Georgia, licensed in Georgia (SLP005090) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1275432171
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. TRACIE MOORE JACKSONCredential: M.ED., CCC-SLP
Location Address3740 MELODY MIZER LNCumming, GA 30041-6940
Mailing Address1120 Dahlonega HwyCumming, GA 30040-4536 · (770) 887-2461
Sole ProprietorYes
Enumeration DateNovember 5, 2026
NPPES CertifiedNovember 5, 2026
✔ NPI 1275432171 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 GA · SLP005090
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.
3740 MELODY MIZER LN, Cumming, GA 30041

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 Tracie Jackson's NPI number?

The NPI number for Tracie Jackson is 1275432171. It was assigned to this individual provider in the NPPES registry on November 5, 2026.

Where is Tracie Jackson located?

Tracie Jackson practices at 3740 Melody Mizer Ln, Cumming, GA 30041. The listed phone number is (770) 888-1222.

What is Tracie Jackson'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 Tracie Jackson was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.