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Jessica P. Graham, MED CCC-SLP

NPI 1578339297ActiveIndividual· Speech-Language Pathologist· Forsyth, GA

Speech-Language Pathologist (MED CCC-SLP) in Forsyth, Georgia, licensed in GA, with an NPI issued in December 2023. Enrolled in Medicare as practitioner - qualified speech language pathologist.

Overview

NPI1578339297
StatusActive
Entity typeIndividual
CredentialMED CCC-SLP
Sole proprietorYes
NPI issuedDec 4, 2023
Last updated in NPPESDec 13, 2023
Certified by providerDec 13, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000XSLP009104GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Qualified Speech Language Pathologist (GA)

Medicare sources and data years

Other Speech-Language Pathologist providers in Forsyth

All Speech-Language Pathologist providers in Georgia →