Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily Mangum, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1992356158

Emily Mangum, CCC-SLP is a Qualified Speech Language Pathologist in Jackson, Mississippi. Qualified in 2018, 8 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2019
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2046 Meadowbrook Rd
Jackson, MS 39211-6527
Phone: (601) 953-7697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6250 Old Canton Rd Ste 130, Jackson, MS 39211-2946 — (601) 956-7280

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence S4542 (MS)

Record details

NPI number1992356158
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 27, 2019
Last updated in NPPESOctober 29, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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