Kelsey Jack, CCC-SLP - Speech-Language Pathologist in Douglasville, GA

Kelsey Jack, CCC-SLP is a Speech-language Pathologist based in Douglasville, Georgia. Kelsey Jack is licensed to practice in Georgia (license number 012517) and her current practice location is 6078 Dorset Bridge Rd, Douglasville, Georgia. She can be reached at her office (for appointments etc.) via phone at (361) 215-4254.

NPI number for Kelsey Jack is 1750161808 and her current mailing address is 6078 Dorset Bridge Rd, Douglasville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750161808.

Contact Information

Kelsey Jack, CCC-SLP
6078 Dorset Bridge Rd,
Douglasville, GA 30135-6016
(361) 215-4254
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelsey Jack
GenderFemale
SpecialitySpeech-language Pathologist
Location6078 Dorset Bridge Rd, Douglasville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750161808
  • Provider Enumeration Date: 10/04/2023
  • Last Update Date: 10/04/2023

Medical Identifiers

Medical identifiers for Kelsey Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750161808NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 30002182 (North Carolina)Secondary
235Z00000XSpeech-language Pathologist 012517 (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. Kelsey Jack 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
Kelsey Jack, CCC-SLP
6078 Dorset Bridge Rd,
Douglasville, GA 30135-6016

Ph: () -
Kelsey Jack, CCC-SLP
6078 Dorset Bridge Rd,
Douglasville, GA 30135-6016

Ph: (361) 215-4254

Reviews and Comments


Speech-Language Pathologist in Douglasville, GA

Gifted Integrative Speech Therapy
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3184 Warrenton Ct, Douglasville, GA 30135
Phone: 678-948-6632    Fax: 888-972-3946
Ms. Tammy L Velliquette, M.ED. CCC SLP L
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6732 Spring St, Douglasville, GA 30134
Phone: 404-934-0605    Fax: 770-577-2816
Terri Hayes, M.ED., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3318 Highway 5, Suite 335, Douglasville, GA 30135
Phone: 770-369-7527    
Individual Expressions Therapy, Llc
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 7421 Douglas Blvd Ste N446, Douglasville, GA 30135
Phone: 770-731-8772    Fax: 470-300-0042
Dr. D'jaris Renee White, PH.D, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6732 Spring St, Douglasville, GA 30134
Phone: 678-901-7788    
Michelle Miller, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 8509 Hospital Dr, Douglasville, GA 30134
Phone: 770-947-5440    
Domonique Marseille, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3694 Meridian Ln, Douglasville, GA 30135
Phone: 404-904-2591    

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