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

Mrs. Jody Ann Moore

Individual provider Speech-Language Pathologist · NPI 1700518958

Mrs. Jody Ann Moore is a Speech-Language Pathologist in Tifton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

405 Love Ave
Tifton, GA 31794-4403
Phone: (229) 402-7188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP003738 (GA)

Record details

NPI number1700518958
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022

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