ANGELA KIM GRISSOM SLP
NPI 1770729998
Speech-Language Pathologist in Jackson, MS

Q: What is Angela Grissom's NPI number?

The NPI number for Angela Grissom is 1770729998. It was assigned to this individual provider in the NPPES registry on December 17, 2008. The provider is also known as Kim Tidwell.

Q: What is Angela Grissom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angela Grissom was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since December 17, 2008

733 N. FLAG CHAPEL ROAD, JACKSON, MS 39209(601) 922-5530(601) 922-5534 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angela Kim Grissom Slp NPPES

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

ANGELA KIM GRISSOM SLP (NPI 1770729998) is an individual speech-language pathologist provider in Jackson, Mississippi, licensed in Mississippi (S2357) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1770729998

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameANGELA KIM GRISSOMCredential: SLP

Location Address733 N. FLAG CHAPEL ROADJackson, MS 39209

Mailing Address147 Pecan Hill DrClinton, MS 39056-5233 · (601) 862-9265

Phone(601) 922-5530

Fax(601) 922-5534

Sole ProprietorYes

Enumeration DateDecember 17, 2008

Last NPPES UpdateSeptember 30, 2025

NPPES CertifiedSeptember 30, 2025

✔ NPI 1770729998 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 · S2357

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.

733 N. FLAG CHAPEL ROAD, Jackson, MS 39209

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Other Names 1

Other Name (5)Kim Tidwell

Other Identifiers 1

OtherS2357MS · Ms State Board Of Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 Angela Grissom's NPI number?

The NPI number for Angela Grissom is 1770729998. It was assigned to this individual provider in the NPPES registry on December 17, 2008. The provider is also known as Kim Tidwell.

Where is Angela Grissom located?

Angela Grissom practices at 733 N. Flag Chapel Road, Jackson, MS 39209. The listed phone number is (601) 922-5530.

What is Angela Grissom's specialty?

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

What insurance does Angela Grissom accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Angela Grissom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Grissom was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.