Walter J Lawrence, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25503 Issued in AL

Practice address

551 Glover Ave
Enterprise, AL 36330-2041

Phone

(334) 475-2058

Fax

(334) 489-4308

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Family Practice

Education

St. Louis College of Physicians and Surgeons, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Walter Lawrence MD PC

  • Family Medicine Physician
  • Enterprise, AL
  • NPI 1538599071
  Medicare reassignment NPD Authorized official
• Del Mar Dental Care P.C.

  • Dentist
  • Enterprise, AL
  • NPI 1003981564
  NPD (past)
• Healthcare Authority of Elba, Al, Inc.

  • Family Medicine Physician
  • Elba, AL
  • NPI 1972653210
  NPD (past)
• The Health Care Authority of Elba Alabama

  • Rural Acute Care Hospital
  • Elba, AL
  • NPI 1114904968
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• QHG of Enterprise Inc

  • General Acute Care Hospital
  • Enterprise, AL
  • NPI 1720039712
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124067632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 GLOVER AVE",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302041",
            "telephone_number": "334-475-2058",
            "fax_number": "334-489-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 GLOVER AVE",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302041",
            "telephone_number": "334-475-2058",
            "fax_number": "334-489-4308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 E Lee St",
            "address_2": "SUITE C",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363302093",
            "country_code": "US",
            "telephone_number": "334-348-8818",
            "fax_number": "334-393-8773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "WALTER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "25503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009975885",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51000284",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael H Lait, LPC
• Morgan Laporta, RBT
• Larry T Howell DMD PC
• Kayce Lathrop
• Alexa Melia Lawrence I
• Jamie Lawrimore, P.T.
• Yananda Lawson, RBT
• Marquita Sherell Layton, LICSW
• Jamie Lee, LABOR DOULA
• Legacy of Hope Wellness and Care LLC

• Family Medicine Physician in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.