Active NPI
Laura Santos, MS, CCC-SLP
- Speech-Language Pathologist
- Camilla, GA
National Provider Identifier
1023077955
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 19, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP004933
- Practice address
- 3667 Fox Run Rd
Camilla, GA 31730-3268 - Phone
- (229) 881-2049
- Fax
- (229) 336-7167
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP004933 | GA | Primary |
Addresses
Primary practice location
3667 Fox Run Rd
Camilla, GA 31730-3268
Mailing address
3667 Fox Run Rd
Camilla, GA 31730-3268
Phone (229) 881-2049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP004933 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023077955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3667 FOX RUN RD",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317303268",
"telephone_number": "229-881-2049",
"fax_number": "229-336-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3667 FOX RUN RD",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317303268",
"telephone_number": "229-881-2049",
"fax_number": "229-336-7167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "LAURA",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP004933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camilla, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.