Individual provider Active NPI

Charles Allen Walker, MD., DAAPM

  • Pain Medicine (Anesthesiology) Physician
  • Paris, TN
National Provider Identifier
1144360785
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD0000017178 Issued in TN
Practice address
707 E Wood St
Paris, TN 38242-4221
Phone
(731) 644-0144
Fax
(731) 644-0887
NPI assigned
Feb 6, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD0000017178 TN Primary

Addresses

Primary practice location

707 E Wood St
Paris, TN 38242-4221

Mailing address

707 E Wood St
Paris, TN 38242-4221
Phone (731) 644-0144

Other identifiers 8

IdentifierTypeStateIssuer
0503996OtherTNCIGNA PROVIDER NUMBER
3015336OtherTNBLUE CROSS PROVIDER NUMBE
44D0944207OtherTNCLIA NUMBER
621649945OtherTNTAX ID
5004078OtherTNTLC PROVIDER NUMBER
5785037OtherTNAETNA PROVIDER NUMBER
MD0000017178OtherTNSTATE OF TN LICENSE
010065755OtherTNRAILROAD MEDICARE PROVIDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000017178TNMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a. Walker Dba Walker Pain Management Centers PastSince Jan 1, 1990 Accepting new patients
Charles a. Walker Dba Walker Pain Management Centers PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charles.walker@3584.securemail.prognocis.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144360785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424221",
            "telephone_number": "731-644-0144",
            "fax_number": "731-644-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424221",
            "telephone_number": "731-644-0144",
            "fax_number": "731-644-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CHARLES",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD., DAAPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "MD0000017178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "0503996",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "3015336",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "44D0944207",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "621649945",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC PROVIDER NUMBER",
            "identifier": "5004078",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5785037",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN LICENSE",
            "identifier": "MD0000017178",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "010065755",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.