Jill Widem, - Speech-Language Pathologist in Johns Creek, GA

Jill Widem, is a Speech-language Pathologist based in Johns Creek, Georgia. Jill Widem is licensed to practice in Georgia (license number SLP007721) and her current practice location is 775 Ellsborough Ct, Johns Creek, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 518-0944.

NPI number for Jill Widem is 1083167993 and her current mailing address is 775 Ellsborough Ct, Johns Creek, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083167993.

Contact Information

Jill Widem,
775 Ellsborough Ct,
Johns Creek, GA 30005-2575
(404) 518-0944
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJill Widem
GenderFemale
SpecialitySpeech-language Pathologist
Location775 Ellsborough Ct, Johns Creek, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083167993
  • Provider Enumeration Date: 07/27/2016
  • Last Update Date: 07/27/2016

Medical Identifiers

Medical identifiers for Jill Widem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083167993NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SLP007721 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Widem is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jill Widem,
775 Ellsborough Ct,
Johns Creek, GA 30005-2575

Ph: (404) 518-0944
Jill Widem,
775 Ellsborough Ct,
Johns Creek, GA 30005-2575

Ph: (404) 518-0944

Reviews and Comments


Speech-Language Pathologist in Johns Creek, GA

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Melissa Drane, MSCCCSLP
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Niva M. Falk, MS, CCC-SLP
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Phone: 678-749-7600    

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