Individual provider Active NPI

Monica Walker, FNP-C

  • Nurse Practitioner
  • Port Royal, SC
National Provider Identifier
1023655669
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23483 Issued in SC
Practice address
1510 Ribaut Rd
Port Royal, SC 29935-1403
Phone
(843) 770-0676
NPI assigned
Dec 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 206404 GA
Nurse Practitioner 363L00000X 23483 SC Primary

Addresses

Primary practice location

1510 Ribaut Rd
Port Royal, SC 29935-1403

Mailing address

PO Box 295
Seabrook, SC 29940-0295
Phone (843) 522-8223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200511000694 SC Practitioner - Nurse Practitioner 1456782390 Reassigns benefits to 3 organizations
I20210715000639 GA Practitioner - Nurse Practitioner 1456782390 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
206404GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Jun 2, 2021 Accepting new patients
Interstate Health Systems, Inc CurrentSince Jan 19, 2025 Accepting new patients
Interstate Health Systems, Inc CurrentSince Jan 19, 2025 Accepting new patients
American Current Care PA CurrentSince Aug 15, 2022 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Jun 2, 2021 Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155

107 Canal St
Pooler, GA 31322
Phone (912) 450-1945

101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945

5712 State Highway 21
Ste 300
Port Wentwrth, GA 31407
Phone (800) 756-1591

361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

3 Progressive St
Bluffton, SC 29910
Phone (843) 548-0533

1515 Bells Hwy
Walterboro, SC 29488
Phone (843) 522-8223

7200 Strawberry Plains Pike
Knoxville, TN 37914
Phone (225) 363-2166

Organizations & group practices 8

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": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1023655669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "SEABROOK",
            "state": "SC",
            "postal_code": "299400295",
            "telephone_number": "843-522-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 RIBAUT RD",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351403",
            "telephone_number": "843-770-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MONICA",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "206404",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "23483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Royal, SC

Sources for this page

Verify at the official NPI Registry.