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ANNA AXUM M.S., CCC-SLP
NPI 1477490209
Speech-Language Pathologist in Bogalusa, LA

Active since April 30, 2026
219 S BORDER DR, BOGALUSA, LA 70427(985) 237-1683 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anna Axum M.s., Ccc-slp NPPES

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

ANNA AXUM M.S., CCC-SLP (NPI 1477490209) is an individual speech-language pathologist provider in Bogalusa, Louisiana, licensed in Louisiana (14537382) and active in the NPI registry since April 2026. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1477490209
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANNA AXUMCredential: M.S., CCC-SLP
Location Address219 S BORDER DRBogalusa, LA 70427-3671
Mailing Address1855 Harry Lemons RdMandeville, LA 70448-2275
Phone(985) 237-1683
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1477490209 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 LA · 14537382
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.
219 S BORDER DR, Bogalusa, LA 70427
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Axum M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921577974
PECOS Enrollment IDI20260519002805

Medicare Billing Reassignment

Medicare enrollment records show Anna Axum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinics Of The Southeast LLC
Same address
Rural Health
219 S BORDER DR
Bogalusa, LA 70427
  • Reassigned Medicare billing, Louisiana enrollment
  • 5 clinicians in this Medicare group
NPI 1053082743 (985) 732-1568

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 2

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

CLINICS OF THE SOUTHEAST LLC
Clinic/Center (Rural Health)
219 S BORDER DR
BOGALUSA, LA 70427
Washington Parish (985) 732-1568
MRS. CIJI DEYUANA WALLACE RN-FNP
Nurse Practitioner (Family)
219 S BORDER DR
BOGALUSA, LA 70427
Washington Parish (985) 633-1952

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 Anna Axum's NPI number?

The NPI number for Anna Axum is 1477490209. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Anna Axum located?

Anna Axum practices at 219 S Border Dr, Bogalusa, LA 70427. The listed phone number is (985) 237-1683.

What is Anna Axum's specialty?

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

Is Anna Axum enrolled in Medicare?

Yes. Anna Axum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anna Axum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Axum reassigns Medicare benefits to Clinics Of The Southeast LLC (Bogalusa, LA). 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 Anna Axum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Axum accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Anna Axum 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 Anna Axum was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.