Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katie Alyssa Jenkins

Individual provider Speech-Language Pathologist · NPI 1114568847

Katie Alyssa Jenkins is a Qualified Speech Language Pathologist in Valdosta, Georgia. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

2704 N Oak St Bldg A2
Valdosta, GA 31602-5900
Phone: (229) 253-1009
Fax: (229) 253-1039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence PCET002847 (GA)

Record details

NPI number1114568847
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 3, 2019
Last updated in NPPESOctober 3, 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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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