Individual provider Active NPI

Jerry Lee Walters II, M.D.

  • Neurological Surgery Physician
  • Marietta, GA
National Provider Identifier
1083058291
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
85938 Issued in GA
Practice address
718 Cherokee St NE
Marietta, GA 30060-7253
Phone
(770) 291-8987
NPI assigned
Apr 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 85938 GA Primary

Addresses

Primary practice location

718 Cherokee St NE
Marietta, GA 30060-7253

Mailing address

718 Cherokee St NE
Marietta, GA 30060-7253
Phone (770) 291-8987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20200710000655 GA Practitioner - Neurosurgery 7012232739 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Warren Alpert Medical School of Brown University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nova Brain and Spine, LLCGroup PAC ID 1658848247, 2 clinicians
Legacy Brain and Spine LLCGroup PAC ID 0143595157, 7 clinicians
Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians

Practice addresses (Care Compare)

700 Manassas St
Suite 300
Hampton, GA 30228-5906
Phone (770) 515-8770

718 Cherokee St NE
Marietta, GA 30060-7253
Phone (770) 291-8987

875 Flat Shoals Rd SE
Suite 150
Conyers, GA 30094-6640
Phone (770) 785-7669

Hospital & facility affiliations

  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
Quality
63.81
Promoting interoperability
100
Improvement activities
40
Cost
57.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion99
Laminectomy or laminotomy (partial removal of spine bones)21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Brain and Spine, LLC Single Specialty CurrentSince Nov 18, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
City of Hope Medical Group of Georgia LLC Single Specialty CurrentSince Aug 18, 2021 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Legacy Brain & Spine LLC Single Specialty PastSince Jun 2, 2024 Accepting new patients
Legacy Brain & Spine LLC Single Specialty PastSince Jun 2, 2024 Accepting new patients
Legacy Brain & Spine LLC Single Specialty PastSince Jun 2, 2024 Accepting new patients
Piedmont Hospital, Inc Single Specialty Past Accepting new patients

Locations

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

700 Manassas St
Ste 400
Hampton, GA 30228

700 Manassas St
Ste 300
Hampton, GA 30228
Phone (770) 515-8770

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBBDBD

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1083058291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 CHEROKEE ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607253",
            "telephone_number": "770-291-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 CHEROKEE ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607253",
            "telephone_number": "770-291-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "85938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.