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DEMETRIA JACKSON CCC-SLP
NPI 1790005791
Speech-Language Pathologist in Brunswick, GA

Active since June 02, 2010
157 CORAL DR, BRUNSWICK, GA 31523(912) 689-4382(888) 875-2884 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2022, Jun 16, 2017 (2 updates tracked since 2017).

About Demetria Jackson Ccc-slp NPPES

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

DEMETRIA JACKSON CCC-SLP (NPI 1790005791) is an individual speech-language pathologist provider in Brunswick, Georgia, licensed in Georgia (SLP007195) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1790005791
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDEMETRIA JACKSONCredential: CCC-SLP
Location Address157 CORAL DRBrunswick, GA 31523-8951
Mailing AddressPo Box 2246Brunswick, GA 31521-2246 · (912) 689-4382 · Fax (888) 875-2884
Phone(912) 689-4382
Fax(888) 875-2884
Sole ProprietorYes
Enumeration DateJune 2, 2010
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1790005791 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 · SLP007195
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.
157 CORAL DR, Brunswick, GA 31523
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Other Identifiers 1

Medicaid658178836AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

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

INNOVATIVE THERAPY MATTERS LLC
Speech-Language Pathologist
157 CORAL DR
BRUNSWICK, GA 31523
Glynn County (912) 571-6022

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 Demetria Jackson's NPI number?

The NPI number for Demetria Jackson is 1790005791. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Demetria Jackson located?

Demetria Jackson practices at 157 Coral Dr, Brunswick, GA 31523. The listed phone number is (912) 689-4382.

What is Demetria Jackson's specialty?

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

What insurance does Demetria Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Demetria Jackson 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 Demetria Jackson was last updated on February 4, 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.