Individual provider Active NPI

Karen Hallermeier Walson, MD

  • Pediatric Critical Care Medicine Physician
  • Atlanta, GA
National Provider Identifier
1043491483
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
061015 Issued in GA
Practice address
5901C Peachtree Dunwoody Rd NE # C
Ste C-65
Atlanta, GA 30328-5382
Phone
(404) 252-9751
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD426466 PA
Pediatric Critical Care Medicine Physician 2080P0203X 061015 GA Primary

Addresses

Primary practice location

5901C Peachtree Dunwoody Rd NE # C
Ste C-65
Atlanta, GA 30328-5382

Mailing address

127 Candler Oaks LN
Decatur, GA 30030-3771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD426466PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottish Rite Children's Medical Center Past Accepting new patients
Scottish Rite Childrens Medical Ctr Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kwalson26344@choa.gadirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1043491483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CANDLER OAKS LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901C PEACHTREE DUNWOODY RD NE # C",
            "address_2": "STE C-65",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285382",
            "telephone_number": "404-252-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSON",
        "first_name": "KAREN",
        "middle_name": "HALLERMEIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD426466",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "GA",
            "license": "061015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.