Soraya Walker
Individual provider Active NPI Contractor · Pine Mountain, GA
NPI 1013824366 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1013824366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 134 Church Ave Apt 28
Pine Mountain, GA 31822-2453 - Phone
- (229) 314-3396
- NPI assigned
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | GA | Yes |
Addresses
Primary practice location
134 Church Ave Apt 28
Pine Mountain, GA 31822-2453
Mailing address
134 Church Ave Apt 28
Pine Mountain, GA 31822-2453
Phone (229) 314-3396
Other providers in Pine Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.