CAMILLE JOHNSON MS CCC-SLP
NPI 1063957975
Speech-Language Pathologist in Lithia Springs, GA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Camille Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cumming, GA 30041
- Reassigned Medicare billing, Georgia enrollment
- 84 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITHIA SPRINGS, GA 30122
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.
Which organization bills Medicare for Camille Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camille Johnson reassigns Medicare benefits to Empowerme Rehabilitation Georgia, LLC (Cumming, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Camille Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Camille Johnson accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Camille Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Camille Johnson, MS CCC-SLP · NPI 1063957975
Speech-Language Pathologist provider in Lithia Springs, Georgia. Individual provider, active in the CMS NPPES registry since December 31, 2016.
## Identity
- **NPI:** 1063957975 (Entity type: Individual)
- **Enumerated:** December 31, 2016
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** SLP009511 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2959 LEGACY PARK DR, Lithia Springs, GA 30122-4344
- **Phone:** (803) 413-0489
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Empowerme Rehabilitation Georgia, LLC (NPI 1952934374, Cumming, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1063957975) · Data from the CMS NPPES public registry.