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MRS. JADE YVONNE KELLY M.ED, CCC-SLP
NPI 1861994576
Speech-Language Pathologist in Tifton, GA

Active since March 08, 2018Accepts Medicare Assignment
1152 TIFTON ELDORADO RD, TIFTON, GA 31794(478) 455-1171(229) 329-4532 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jade Yvonne Kelly M.ed, Ccc-slp NPPES

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

MRS. JADE YVONNE KELLY M.ED, CCC-SLP (NPI 1861994576) is an individual speech-language pathologist provider in Tifton, Georgia, licensed in Georgia (SLP005980) and active in the NPI registry since March 2018. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1861994576
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. JADE YVONNE KELLYCredential: M.ED, CCC-SLP
Location Address1152 TIFTON ELDORADO RDTifton, GA 31794-8729
Mailing Address817 Georgia DrTifton, GA 31794-4215 · (229) 402-2614
Phone(478) 455-1171
Fax(229) 329-4532
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 8, 2018
✔ NPI 1861994576 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 · SLP005980
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.
1152 TIFTON ELDORADO RD, Tifton, GA 31794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jade Yvonne Kelly M.ed, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466866694
PECOS Enrollment IDI20231206003556

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 Jade Kelly's NPI number?

The NPI number for Jade Kelly is 1861994576. It was assigned to this individual provider in the NPPES registry on March 8, 2018.

Where is Jade Kelly located?

Jade Kelly practices at 1152 Tifton Eldorado Rd, Tifton, GA 31794. The listed phone number is (478) 455-1171.

What is Jade Kelly's specialty?

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

Is Jade Kelly enrolled in Medicare?

Yes. Jade Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jade Kelly was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.