Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Camille Johnson, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1063957975

Camille Johnson, MSCCC-SLP is a Qualified Speech Language Pathologist in Lithia Springs, Georgia. Qualified in 2015, 11 years ago. Practices with Empowerme Rehabilitation Georgia, LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
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Practice location Address checks out

2959 Legacy Park Dr
Lithia Springs, GA 30122-4344
Phone: (803) 413-0489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP009511 (GA)

Record details

NPI number1063957975
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedDecember 31, 2016
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address2959 Legacy Park Dr, Lithia Springs, GA 30122-4344

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Empowerme Rehabilitation Georgia, Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lithia Springs