Active NPI
Matthew Lewis Walker I, MD
- Psychiatry Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- T-2876
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 984-5601
- NPI assigned
- May 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | T-2876 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Louisiana State University School of Medicine in Shreveport, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 Pryor St SW
Atlanta, GA 30303-3638
Phone (678) 843-8840
424 Decatur St SE
Atlanta, GA 30312-1848
Phone 67884386008537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-2876 | MS | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph'S Mercy Care Services, Inc. | Current | Accepting new patients | |
| Saint Joseph'S Mercy Care Services Inc | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Saint Joseph'S Mercy Care Services, Inc. | Current | Accepting new patients | |
| Saint Joseph'S Mercy Care Services Inc | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients |
Locations
1300 Joseph E Boone Blvd NW
Atlanta, GA 30314
Phone (404) 952-1201
424 Decatur St SE
Atlanta, GA 30312
Phone (678) 843-8500
275 Pryor St SW
Atlanta, GA 30303
Phone (678) 843-8840
5134 Peachtree Rd
Chamblee, GA 30341
Phone (678) 872-7100
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
Interoperability endpoints
- mwalker587559@direct.ochin.org
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1588663421
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1831266618
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1689921306
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1821239708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1063823896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MATTHEW",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-14",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "T-2876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.