Active NPI
Caroline Ashley Walker, PA-C
- Physician Assistant
- Lawrenceville, GA
National Provider Identifier
1144523325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6007
- Practice address
- 1655 Lebanon Rd
Suite a
Lawrenceville, GA 30043-5116 - Phone
- (770) 682-2024
- NPI assigned
- Dec 10, 2010
- Last updated
- Jul 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6007 | GA | Primary |
Addresses
Primary practice location
1655 Lebanon Rd
Suite a
Lawrenceville, GA 30043-5116
Mailing address
1655 Lebanon Rd
Suite a
Lawrenceville, GA 30043-5116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 5, 2020 through Mar 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6007 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Heart Diagnostics Corporation | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1144523325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 LEBANON RD",
"address_2": "SUITE A",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 LEBANON RD",
"address_2": "SUITE A",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435116",
"telephone_number": "770-682-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "CAROLINE",
"middle_name": "ASHLEY",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-10",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "6007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.