Jessica Clark Walker

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-08063 Issued in NC

Practice address

119 Holly St
Holly Ridge, NC 28445-7898

Phone

(910) 329-1707

NPI assigned

Aug 21, 2018

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 NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

PsychwellnowGroup PAC ID 9739621558, 2 clinicians

Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Carolina Quickcare Family Practice, PLLC

  • Internal Medicine Physician
  • Biscoe, NC
  • NPI 1881360899
  Medicare reassignment Care Compare group NPD
• Psychwellnow

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1821857921
  Medicare reassignment Care Compare group
• Unc Physicians Network LLC

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment NPD
• Holly Ridge Healthcare PA

  • Family Medicine Physician
  • Holly Ridge, NC
  • NPI 1558544957
  Medicare reassignment
• North Whiteville Urgent Care & Family Practice PA

  • Internal Medicine Physician
  • Whiteville, NC
  • NPI 1639352032
  NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830
  NPD
• Holly Ridge Chiropractic & Auto Injury

  • Chiropractor
  • Holly Ridge, NC
  • NPI 1285000646
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1114407939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HOLLY ST",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HOLLY ST",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457898",
            "telephone_number": "910-329-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JESSICA",
        "middle_name": "CLARK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Stous II
• Tyler Sullivan, SLP
• Maranda D Tamson
• Topsail Pediatric Therapy, PLLC
• Elizabeth Margaret Vliet, BSN, RN
• Lindsay C Webb, M.A., CCC-SLP
• Wilmington Medical Group PA
• Robert Steven Woods, SOIDC

• Physician Assistant in Holly Ridge, NC
• Providers in Holly Ridge, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.

Verify at the official NPI Registry.