Tammy Elaine Walters, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110002186 Issued in VA

Practice address

125 Buena Vista Cir
Pavillion
South Hill, VA 23970-1431

Phone

(434) 447-3151

NPI assigned

Aug 18, 2006

Last updated

Jul 8, 2007By 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)

Enrolled

Credentials

Physician Assistant

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.

• Community Memorial Hospital

  • Hospitalist Physician
  • South Hill, VA
  • NPI 1891014015
  NPD (past)
• Franklin Clinic Corp

  dba Southampton Orthopaedic and Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Franklin, VA
  • NPI 1881171718
  NPD (past)
• Virginia Psychiatric Associates, Inc.

  • Psychiatry Physician
  • Richmond, VA
  • NPI 1619042173
  NPD (past)
• Albemarle Behavioral Medicine, PC

  • Psychiatry Physician
  • Elizabeth City, NC
  • NPI 1124169263
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003920968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STATE ST",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238472040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BUENA VISTA CIR",
            "address_2": "PAVILLION",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701431",
            "telephone_number": "434-447-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "TAMMY",
        "middle_name": "ELAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitacollect LLC
• W F & G, Inc (Watkins Hearing Aids Center)
• Wal-Mart Stores East , LP (Walmart Pharmacy 10-1934)
• Wal-Mart Stores East, LP (Vision Center 30-1934)
• Daniel Walbert, CRNA
• Margaret Carolyn Ward-Thompson, PHD
• Larry D Warren
• Thomas Watters, CRNA
• Paul Daniel Weidman, M.D.
• Kelly Spahr White, M.ED., BCBA, LBA

• Medical Physician Assistant in South Hill, VA
• Providers in South Hill, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.