Individual provider Active NPI

Walter Calvin Melton Jr., D.C.

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1003972597
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8122 Issued in FL
Practice address
2056 Centre Pointe LN
Tallahassee, FL 32308-4300
Phone
(850) 570-0208
Fax
(850) 878-2281
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8122 FL Primary

Addresses

Primary practice location

2056 Centre Pointe LN
Tallahassee, FL 32308-4300

Mailing address

PO Box 14593
Tallahassee, FL 32317-4593
Phone (850) 570-0208

Other identifiers 2

IdentifierTypeStateIssuer
53947OtherFLBCBSFL
JPG001OtherFLVISTA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081105000845 FL Practitioner - Chiropractic 9436229044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

137 Salem CT
Tallahassee, FL 32301-2809
Phone (850) 878-2363

250 Pinewood Dr
Tallahassee, FL 32303-4838
Phone (850) 878-2363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8122FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Chiropractic and Sports Development Center PA Chiropractor CurrentSince Jan 1, 2008 Accepting new patients
Triumph Sports and Wellness Inc Chiropractor Past Accepting new patients
Grant-Melton Chiropractic Clinic PA Chiropractor Past Accepting new patients

Locations

137 Salem Ct
Tallahassee, FL 32301
Phone (850) 878-2363

250 Pinewood Dr
Tallahassee, FL 32303
Phone (850) 766-5678

2056 Centre Pointe Ln
Tallahassee, FL 32308
Phone (850) 668-6888

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1003972597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14593",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323174593",
            "telephone_number": "850-570-0208",
            "fax_number": "850-878-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 CENTRE POINTE LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084300",
            "telephone_number": "850-570-0208",
            "fax_number": "850-878-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "WALTER",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "53947",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "JPG001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.

Verify at the official NPI Registry.