Tracie A Walker, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD35452 Issued in TN

Practice address

11 Wyndchase Dr
Jackson, TN 38305-7529

Phone

(731) 616-6881

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Firstcare Medical Center, PC

  • Cardiovascular Disease Physician
  • Jackson, TN
  • NPI 1922212067
  NPD (past)
• Jackson Clinic PA

  • Durable Medical Equipment & Medical Supplies
  • Jackson, TN
  • NPI 1689443038
  NPD (past)
• Metro Memphis Medical Specialist, Inc.

  • Ph.D. Medical Genetics
  • Memphis, TN
  • NPI 1316961931
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1063480176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 N HIGHLAND AVE",
            "address_2": "SUITE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051846",
            "telephone_number": "731-616-6881",
            "fax_number": "731-736-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WYNDCHASE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057529",
            "telephone_number": "731-616-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TRACIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD35452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wayne Walker
• Donna-Jean Walker, M.D.
• Jayme Leke Walker, NP-C
• Marla Walker, DOCTOR OF PHARMACY
• Traci Walker, APRN
• Tracy Walker
• Kellie L Wallace-Wilding, MD
• Robert Wallace, CRNA
• Taurus Waller, MS
• Donna J Wallis, W.H.N.P.

• Internal Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.