Staci Tate Jackson, SLP
Speech-Language Pathologist · Winston Salem, NC
Staci Tate Jackson, SLP is a speech-language pathologist with a practice address in Winston Salem, North Carolina, and NPI 1316172778, issued on May 28, 2009. Check the license (North Carolina 6933, as entered in NPPES) with the North Carolina board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Staci Tate Jackson
- Credential
- SLP
- Primary taxonomy
- Speech-Language Pathologist 235Z00000X
- License number
- 6933 NC
Self-reported in NPPES; status is on the state search - Practice location
- 4917 Southwin Dr, Winston Salem, NC 27104
- Phone
- (336) 287-2175
- Enumerated
- May 28, 2009
- Record last updated
- Oct 21, 2013 (not updated in 13 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest speech-language pathologist records → All 7,172 in North Carolina → Look up another NPI →
Verify Staci Tate Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 6933Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Staci Tate Jackson among 7,172 speech-language pathologist records in North Carolina
Staci Tate Jackson, SLP is one of 7,172 speech-language pathologist records with a practice address in North Carolina. 3% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2009, is newer than 26% of them.
- NPI issued2009 · 26% of these records are older, 70% newer
- In a Medicare fileNo · 3% of these records are
- In the CMS Doctors and Clinicians fileNo · 5% of these records are
- Record last updated2013 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 235Z00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
350 speech-language pathologist records list a practice address in Winston Salem
They are 350 of the 10,040 NPPES records with a practice address in Winston Salem, and 7,172 speech-language pathologist records in North Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 7,172 in North Carolina → Every provider in Winston Salem → Speech-Language Pathologist nationwide →
The 8 speech-language pathologist records with the nearest ZIP codes
- Karen Appolonia, MA, CCC-SLPWinston Salem, NC 271041477686657
- Jane Burke, MA,CCC-SLP/BCPAWinston Salem, NC 271041831300409
- Janelle DeleonWinston Salem, NC 271041104087519
- Ashley McNeill, M.S., CCC-SLPWinston Salem, NC 271041124967864
- Heather Pettit-Mee, M.A., CFY-SLP/LWinston Salem, NC 271041386059830
- Mary Pool, M.A., CCC-SLPWinston Salem, NC 271041194935700
- Natashi WilliamsWinston Salem, NC 271041073732137
- Shaquetta WilliamsWinston Salem, NC 271041881217164
Common questions
What is Staci Tate Jackson, SLP's NPI number?
Staci Tate Jackson, SLP's National Provider Identifier (NPI) is 1316172778, issued on May 28, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Staci Tate Jackson, SLP located?
The NPPES record lists a practice address at 4917 Southwin Dr, Winston Salem, NC, 27104. Phone: (336) 287-2175. Providers update this record themselves, so call before visiting.
How can I verify Staci Tate Jackson, SLP's license?
NPPES lists North Carolina license number 6933, as entered by the provider. Search the North Carolina 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.