Cameron Mackenzie Walley, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-4085 Issued in MS

Practice address

2118 Sandy LN
Laurel, MS 39443-9087

Phone

(601) 342-2923

Fax

(601) 255-8623

NPI assigned

Aug 19, 2022

Last updated

Sep 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Insight Speech and Language Center, LLC

  • Speech-Language Pathologist
  • Laurel, MS
  • NPI 1700356441
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1417675919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 UNION RD",
            "city": "RICHTON",
            "state": "MS",
            "postal_code": "394767813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 SANDY LN",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394439087",
            "telephone_number": "601-342-2923",
            "fax_number": "601-255-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLEY",
        "first_name": "CAMERON",
        "middle_name": "MACKENZIE",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MS",
            "license": "OTA-4085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon T Wall, CRNA
• Wallace Drug Company Inc (Wallace Discount Drugs)
• Wallace Drug Company Inc (Dikets Professional Drugs)
• Dedra Danyale Wallace
• John M. Wallace, M.D.
• Tabitha Walls, CMHT
• Anna Hendry Walters, FNP-C
• Elizabeth Cori Walters, FNP- C
• Fred Irvin Walters Jr., DDS
• Robert William Walters, MD

• Occupational Therapy Assistant in Laurel, MS
• Providers in Laurel, MS by specialty
• Occupational Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.