Active NPI
Paige Grace Cameron
- Speech-Language Pathologist
- Clayton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30001038
- Practice address
- 195 Springbrook Ave
Clayton, NC 27520-8105 - Phone
- (919) 550-7200
- NPI assigned
- May 20, 2022
- Last updated
- Jul 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | 30001038 | NC | Primary |
Addresses
Primary practice location
195 Springbrook Ave
Clayton, NC 27520-8105
Mailing address
9 Judy CT
Centerport, NY 11721-1157
Phone (631) 742-3103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5715 N Meade St
Appleton, WI 54913-8364
Phone (608) 344-2495
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30001038 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paxxon Healthcare Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Onr National Speech Pathology Inc | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
6801 W Loomis Rd
Greendale, WI 53129
Phone (414) 209-3132
1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Appleton, WI
- NPI 1134844848
Speech-Language Pathologist
-
dba ONR National, Inc.
- Rehabilitation Clinic/Center
- Kensington, MD
- NPI 1972965952
WI
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1003174087
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Speech-Language Pathologist
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1417695461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 JUDY CT",
"city": "CENTERPORT",
"state": "NY",
"postal_code": "117211157",
"telephone_number": "631-742-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 SPRINGBROOK AVE",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275208105",
"telephone_number": "919-550-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "PAIGE",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-20",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30001038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.