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MRS. JESSICA NIEDERKORN M.A., CCC-SLP
NPI 1366444846
Speech-Language Pathologist in Perry, GA

Active since August 15, 2005
4034 ROUNDTOP CIR, PERRY, GA 31069(478) 718-0573 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Oct 31, 2017 (2 updates tracked since 2017).

About Mrs. Jessica Niederkorn M.a., Ccc-slp NPPES

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

MRS. JESSICA NIEDERKORN M.A., CCC-SLP (NPI 1366444846) is an individual speech-language pathologist provider in Perry, Georgia, licensed in Georgia (SLP005748) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1366444846
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. JESSICA NIEDERKORNCredential: M.A., CCC-SLP
Location Address4034 ROUNDTOP CIRPerry, GA 31069-7806
Mailing Address4034 Roundtop CirPerry, GA 31069-7806 · (478) 718-0573
Phone(478) 718-0573
Sole ProprietorYes
Enumeration DateAugust 15, 2005
Last NPPES UpdateJune 30, 20222 updates tracked since enumeration
NPPES CertifiedJune 30, 2022
✔ NPI 1366444846 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 · SLP005748
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.
4034 ROUNDTOP CIR, Perry, GA 31069
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Other Identifiers 1

Medicaid639235193KGA

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 Jessica Niederkorn's NPI number?

The NPI number for Jessica Niederkorn is 1366444846. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Jessica Niederkorn located?

Jessica Niederkorn practices at 4034 Roundtop Cir, Perry, GA 31069. The listed phone number is (478) 718-0573.

What is Jessica Niederkorn'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 Jessica Niederkorn was last updated on June 30, 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.