Individual provider Active NPI

Sharifa Winbush Walker, DDS

  • Dentist
  • Decatur, GA
National Provider Identifier
1144491119
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013632 Issued in GA
Practice address
127 E. Trinity Place
Decatur, GA 30030-1111
Phone
(404) 446-2776
Fax
(404) 446-2777
NPI assigned
Mar 18, 2008
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8075 TN
Dentist 122300000X DN013632 GA Primary

Addresses

Primary practice location

127 E. Trinity Place
Decatur, GA 30030-1111

Mailing address

2542 Overlake LN
Stockbridge, GA 30281-5240
Phone (901) 590-6440

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN013632GAMDDentist
8075TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Health Dental II CurrentSince Jul 21, 2024 Accepting new patients

Locations

127 E Trinity Pl
Decatur, GA 30030
Phone (404) 446-2776

Organizations & group practices 1

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1144491119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 OVERLAKE LN",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815240",
            "telephone_number": "901-590-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E. TRINITY PLACE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301111",
            "telephone_number": "404-446-2776",
            "fax_number": "404-446-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SHARIFA",
        "middle_name": "WINBUSH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8075",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.