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GEORGIA S JACKSON M.ED, CCC-SLP
NPI 1649530593
Speech-Language Pathologist in Tifton, GA

Active since May 25, 2012
1488 OLD OCILLA RD, TIFTON, GA 31794(229) 386-5200 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Georgia S Jackson M.ed, Ccc-slp NPPES

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

GEORGIA S JACKSON M.ED, CCC-SLP (NPI 1649530593) is an individual speech-language pathologist provider in Tifton, Georgia, licensed in Georgia (SLP003934) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1649530593
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameGEORGIA S JACKSONCredential: M.ED, CCC-SLP
Location Address1488 OLD OCILLA RDTifton, GA 31794-4152
Mailing Address1488 Old Ocilla RdTifton, GA 31794-4152 · (229) 386-5200
Phone(229) 386-5200
Sole ProprietorNo
Enumeration DateMay 25, 2012
✔ NPI 1649530593 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 · SLP003934
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.
1488 OLD OCILLA RD, Tifton, GA 31794
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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)

Georgia S Jackson M.ed, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Golden Speech Therapy, Inc
1.6 mi
Hearing and Speech
117 3RD ST E
Tifton, GA 31794
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1073041919 (229) 402-7188

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 10

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

MRS. JESSIE-LYNN KELLEY MYERS OTR/L
Occupational Therapist
1488 OLD OCILLA RD
TIFTON, GA 31794
Tift County (229) 386-5200
ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, INC.
Physical Therapist
1488 OLD OCILLA RD
TIFTON, GA 31794
Tift County (229) 386-5200
SHANNON K MCDANIEL MED CCC SLP
Speech-Language Pathologist
1488 OLD OCILLA RD
TIFTON, GA 31794
Tift County (229) 386-5200
AMY W MARSHALL M.ED, CCC-SLP
Speech-Language Pathologist
1488 OLD OCILLA RD
TIFTON, GA 31794
Tift County (229) 386-5200
RYLEE ELIZABETH WATSON OTR/L
Occupational Therapist
1488 OLD OCILLA RD
TIFTON, GA 31794
Tift County (229) 386-5200
KIMBERLY DAWN WILSON M.ED., CCC-SLP
Speech-Language Pathologist
1488 OLD OCILLA RD
TIFTON, GA 31794
Tift County (229) 386-5200
JENNIFER GANAS M.ED.,CCC-SLP
Speech-Language Pathologist
1488 OLD OCILLA RD
TIFTON, GA 31794
Tift County (229) 386-5200
REHABILITATION SERVICES OF TIFTON, INC.
Speech-Language Pathologist
1488 OLD OCILLA RD
TIFTON, GA 31794
Tift County (229) 386-5200

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 Georgia Jackson's NPI number?

The NPI number for Georgia Jackson is 1649530593. It was assigned to this individual provider in the NPPES registry on May 25, 2012.

Where is Georgia Jackson located?

Georgia Jackson practices at 1488 Old Ocilla Rd, Tifton, GA 31794. The listed phone number is (229) 386-5200.

What is Georgia Jackson's specialty?

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

Is Georgia Jackson enrolled in Medicare?

Yes. Georgia Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Georgia Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Georgia Jackson reassigns Medicare benefits to Golden Speech Therapy, Inc (Tifton, 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 Georgia Jackson'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 Georgia Jackson was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.