Individual provider Active NPI

Christopher Ronald Walters, M.D.

  • Cardiovascular Disease Physician
  • Lumberton, NC
National Provider Identifier
1053461319
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
200401001 Issued in NC
Practice address
403 W 27TH St
Lumberton, NC 28358-3019
Phone
(910) 671-6619
NPI assigned
Jan 11, 2007
Last updated
Apr 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 200401001 NC Primary

Addresses

Primary practice location

403 W 27TH St
Lumberton, NC 28358-3019

Mailing address

517 Tall Oaks Dr
Durham, NC 27713-9358
Phone (919) 274-1093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081213000073 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8022179704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2936 N Elm St
Suite 102
Lumberton, NC 28358-2981
Phone (910) 671-6619

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
81.28
Promoting interoperability
100
Improvement activities
40
Cost
80.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Aug 30, 2017 Accepting new patients
Southeastern Regional Physician Services CurrentSince Aug 30, 2017 Accepting new patients

Locations

1249 Chicken Foot Rd
Ste C
Hope Mills, NC 28348
Phone (910) 735-8122

2600 N Elm St
Lumberton, NC 28358
Phone (910) 671-5290

2936 N Elm St
#102
Lumberton, NC 28358
Phone (910) 671-6619

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

403 W 27th St
Lumberton, NC 28358
Phone (919) 671-6619

812 Candy Park Rd
Ste 5103
Pembroke, NC 28372
Phone (910) 671-6619

Interoperability endpoints

  • Direct secure messaging: cwalters224472@direct.unc.nchie.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1053461319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 TALL OAKS DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139358",
            "telephone_number": "919-274-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583019",
            "telephone_number": "910-671-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200401001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.