NPPES file of Aug 9, 2026

Kelly Green Jackson, S.L.P.

Speech-Language Pathologist · Lake Park, GA

Kelly Green Jackson, S.L.P. is a speech-language pathologist with a practice address in Lake Park, Georgia, and NPI 1083632467, issued on Jul 17, 2006. Check the license with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1083632467
Name
Kelly Green Jackson
Credential
S.L.P.
Primary taxonomy
Speech-Language Pathologist 235Z00000X
License number
SA8681 FL
Self-reported in NPPES; status is on the state search
Practice location
5314 Moss Oak Trl, Lake Park, GA 31636
Phone
(386) 362-8564
Enumerated
Jul 17, 2006
Record last updated
Jan 27, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Kelly Green Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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2 speech-language pathologist records list a practice address in Lake Park

They are 2 of the 40 NPPES records with a practice address in Lake Park, and 4,744 speech-language pathologist records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other speech-language pathologist records in Georgia

  1. Alaina Abadie, CCC-SLPCumming, GA1497245252
  2. Jodeanne Abbott, CCC-SLPMilan, GA1356667349
  3. Kaitlyn AbercrombieCornelia, GA1013648658
  4. Julie AbesAlpharetta, GA1194094508
  5. Lisa AbeytaColumbus, GA1336354026
  6. Sabina AbjaniSuwanee, GA1013100783
  7. Whitney Acree, SLPWarner Robins, GA1134903891
  8. Abby Adams, M.ED., CCC-SLPVidalia, GA1730655374
  9. Anna Adams, MED, CCC-SLPBrunswick, GA1417432667
  10. Brianna AdamsSavannah, GA1851851398

Common questions

What is Kelly Green Jackson, S.L.P.'s NPI number?

Kelly Green Jackson, S.L.P.'s National Provider Identifier (NPI) is 1083632467, issued on Jul 17, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Kelly Green Jackson, S.L.P. located?

The NPPES record lists a practice address at 5314 Moss Oak Trl, Lake Park, GA, 31636. Phone: (386) 362-8564. Providers update this record themselves, so call before visiting.

How can I verify Kelly Green Jackson, S.L.P.'s license?

Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.