Jaesan PC
NPI 1003940933 · Speech-Language Pathologist · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1003940933
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Kai Jerrell, Ceo/Owner(980) 237-6226
- License
- 5842 (NC)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Speechworks Therapy Services
- Doing business as
- Speechworks Therapy Services
Additional practice locations (1)
- 10 Falls Ave Ste 9aGranite Falls, NC 28630-1545Phone: (980) 237-6226Fax: (980) 237-6288
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2021-10-27
- Certified
- 2021-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.