Scharon M Walls

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

9676 Old Cusseta Rd. BLDG 4202
USA Dental Activity
Fort Benning, GA 31905-5645

Phone

(706) 544-3176

NPI assigned

Jun 2, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1083062814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5976 WALTERS LOOP",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075363",
            "telephone_number": "762-822-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9676 OLD CUSSETA RD. BLDG 4202",
            "address_2": "USA DENTAL ACTIVITY",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055645",
            "telephone_number": "706-544-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "SCHARON",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Neal Vonhilsheimer, FNP
• Karolina Wadolowska
• Andrew Waite, PHARM.D.
• Michael T Wallace, MD
• Brian Steven Wallin, D.O.
• Shannon Walls
• James Wiggins Walter, MD
• Jennifer Wampler, PA-C
• Christopher Shi Chung Wang, CRNA
• Stephen Wayne Ward, PA-C

• Dental Assistant in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Dental Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.