LAURA BRYCE WILLIS (MCD) – Speech-Language Pathologist, NPI 1023213410

LAURA BRYCE WILLIS (MCD) is a healthcare provider. based in Auburn, Alabama. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MCD. They hold a License No. 2703 (AL). The NPI Number for LAURA BRYCE WILLIS (MCD) is 1023213410

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LAURA BRYCE WILLIS (MCD)
NPI
1023213410
Phone
(334) 844-9600
Address
1199 HALEY CTR
Enumeration Date
18 June 2007
Last Update Date
22 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3348449600
Graduation Year
2005 (21 years ago)
PAC ID
0941580104
Group Practice PAC ID
2365735750
Professional Enrollment ID
I20161205000679
Address ID
AL368490001AU1199XCTRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

100 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in AL

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Provider Addresses for LAURA BRYCE WILLIS (MCD)

  • Haley Center, 351, Thach Concourse, Auburn, Lee County, Alabama, 36849, United States

    AUBURN, AL 368495232

    Phone: (334) 844-9600

    Fax: (334) 844-9684

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161205000679IQualified Speech Language PathologistALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36849)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365735750View full group profile
NameSpecialtyState
Qualified AudiologistGA
Qualified Speech Language PathologistAL
Qualified Speech Language PathologistAL
Qualified AudiologistAL
Qualified AudiologistAL
Qualified Speech Language PathologistAL
-GA
Qualified AudiologistAL
Qualified Speech Language PathologistAL
Qualified AudiologistAL

Reviews

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Frequently asked questions

Is there an official ID for LAURA BRYCE WILLIS (MCD) in U.S. healthcare records?
The official identifier for LAURA BRYCE WILLIS (MCD) is NPI 1023213410.
Is there an active status for LAURA BRYCE WILLIS (MCD)?
For scheduling context, LAURA BRYCE WILLIS (MCD) is shown as active in the registry.
What expertise is attributed to LAURA BRYCE WILLIS (MCD)?
LAURA BRYCE WILLIS (MCD)'s specialty line reads Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where in Alabama is LAURA BRYCE WILLIS (MCD) registered?
Use Auburn, Alabama as the headline location for LAURA BRYCE WILLIS (MCD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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