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CAMILLE JOHNSON MS CCC-SLP
NPI 1063957975
Speech-Language Pathologist in Lithia Springs, GA

Active since December 31, 2016Accepts Medicare Assignment
2959 LEGACY PARK DR, LITHIA SPRINGS, GA 30122(803) 413-0489 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2023, Dec 31, 2016 (2 updates tracked since 2016).

About Camille Johnson Ms Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILLE JOHNSON MS CCC-SLP (NPI 1063957975) is an individual speech-language pathologist provider in Lithia Springs, Georgia, licensed in Georgia (SLP009511) and active in the NPI registry since December 2016. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1063957975
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCAMILLE JOHNSONCredential: MS CCC-SLP
Location Address2959 LEGACY PARK DRLithia Springs, GA 30122-4344
Mailing Address2959 Legacy Park DrLithia Springs, GA 30122-4344 · (803) 413-0489
Phone(803) 413-0489
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 31, 2016
Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1063957975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in GA · SLP009511
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2959 LEGACY PARK DR, Lithia Springs, GA 30122
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Camille Johnson Ms Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517478175
PECOS Enrollment IDI20250619001651

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOENIX THERAPY SOLUTIONS LLC
Speech-Language Pathologist
2959 LEGACY PARK DR
LITHIA SPRINGS, GA 30122
Douglas County (803) 413-0489

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camille Johnson's NPI number?

The NPI number for Camille Johnson is 1063957975. It was assigned to this individual provider in the NPPES registry on December 31, 2016.

Where is Camille Johnson located?

Camille Johnson practices at 2959 Legacy Park Dr, Lithia Springs, GA 30122. The listed phone number is (803) 413-0489.

What is Camille Johnson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Camille Johnson enrolled in Medicare?

Yes. Camille Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Camille Johnson was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.