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

Mr. Jesse Blake Beasley, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1295385607

Mr. Jesse Blake Beasley, CCC-SLP is a Speech-Language Pathologist in Gainesville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
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

500 Spring St SE Ste 101
Gainesville, GA 30501-3773
Phone: (770) 615-7676
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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 SLP010688 (GA)

Record details

NPI number1295385607
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 17, 2019
Last updated in NPPESSeptember 17, 2019
Mailing address500 Spring St Se Ste 101, Gainesville, GA 30501-3773

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