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

Individual provider Speech-Language Pathologist · NPI 1083884415

MS. Jill Gwaltney Blankenberg, MS, CCC-SLP is a Qualified Speech Language Pathologist in Concord, North Carolina. Qualified in 2000, 26 years ago. Practices with Paragon Outpatient Rehabilitation Services LLC, a 200-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
26
Licensed in
NC
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

5350 Vinning St
Concord, NC 28027-2936
Phone: (704) 783-2580
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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 5410 (NC)

Record details

NPI number1083884415
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 29, 2008
Last updated in NPPESFebruary 29, 2008

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Paragon Outpatient Rehabilitation Services Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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