MICKALA S WASHINGTON
NPI 1497402432
Speech-Language Pathologist in Clinton, MS
About Mickala S Washington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICKALA S WASHINGTON (NPI 1497402432) is an individual speech-language pathologist provider in Clinton, Mississippi, licensed in Mississippi (S-4690) and active in the NPI registry since March 2022. She maintains a secondary practice location in Pearl and is a graduate of University Of Mississippi School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mickala S Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Mickala Washington reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, MS 39339
- Reassigned Medicare billing, Mississippi enrollment
- 324 clinicians in this Medicare group
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 127 clinicians in this Medicare group
Saltillo, MS 38866
- Reassigned Medicare billing, Mississippi enrollment
- 230 clinicians in this Medicare group
Hixson, TN 37343
- Reassigned Medicare billing, Mississippi enrollment
- 132 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mickala Washington's NPI number?
The NPI number for Mickala Washington is 1497402432. It was assigned to this individual provider in the NPPES registry on March 9, 2022.
Where is Mickala Washington located?
Mickala Washington practices at 725 Clinton Pkwy, Clinton, MS 39056. The listed phone number is (601) 707-8666.
What is Mickala Washington's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Mickala Washington enrolled in Medicare?
Yes. Mickala Washington is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mickala Washington's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mickala Washington reassigns Medicare benefits to 4 organizations: Drayer Physical Therapy Mississippi LLC (Louisville, MS), Benchmark Physical Therapy Of Mississippi LLC (Ocean Springs, MS), Dpti Elite Physical Therapy LLC (Saltillo, MS) and Agilitas Usa Inc (Hixson, TN). Each 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 Mickala Washington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mickala Washington was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mickala S Washington · NPI 1497402432
Speech-Language Pathologist provider in Clinton, Mississippi. Individual provider, active in the CMS NPPES registry since March 9, 2022.
## Identity
- **NPI:** 1497402432 (Entity type: Individual)
- **Enumerated:** March 9, 2022
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** S-4690 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 CLINTON PKWY, Clinton, MS 39056-5245
- **Phone:** (601) 707-8666
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Drayer Physical Therapy Mississippi LLC (NPI 1952732448, Louisville, MS); Benchmark Physical Therapy Of Mississippi LLC (NPI 1811547680, Ocean Springs, MS); Dpti Elite Physical Therapy LLC (NPI 1386010718, Saltillo, MS); Agilitas Usa Inc (NPI 1962417444, Hixson, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** June 9, 2026
- **Other identifiers:** Medicaid S-4690 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1497402432) · Data from the CMS NPPES public registry.