Individual provider Active NPI

Sherry Walter, FNP

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1154301026
Registry record updated Apr 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
134482 Issued in GA
Practice address
1230 Baxter St
Athens, GA 30606-3712
Phone
(706) 543-3449
Fax
(706) 543-5744
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-197665 MT
Family Nurse Practitioner 363LF0000X 134482 GA Primary

Addresses

Primary practice location

1230 Baxter St
Athens, GA 30606-3712

Mailing address

PO Box 48298
Athens, GA 30604-8298
Phone (706) 543-3449

Other practice location 1

6 13th Ave E
Polson, MT 59860-5315
Phone (406) 883-5680

Other identifiers 1

IdentifierTypeStateIssuer
000870042AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041203000011 GA Practitioner - Nurse Practitioner 3577529445 Reassigns benefits to 1 organization
I20221223000187 MT Practitioner - Nurse Practitioner 3577529445 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mednorth Kalispell Urgent Care Clinic, LLCGroup PAC ID 3274680673, 7 clinicians

Practice addresses (Care Compare)

2316 US Hwy 93 N
Kalispell, MT 59901-2547
Phone (406) 755-5661

Hospital & facility affiliations

  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
134482GAMDFamily Nurse Practitioner
NUR-APRN-LIC-197665MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Nov 14, 2022 Accepting new patients
Athens Clarke Medical Enterprises LLC CurrentSince Apr 1, 2020 Accepting new patients
Athens Clarke Medical Enterprises LLC Current Accepting new patients
Providence St Joseph Medical Center CurrentSince Feb 10, 2025 Accepting new patients
Mednorth Kalispell Urgent Care Clinic, LLC CurrentSince Mar 15, 2025 Accepting new patients
Credena Health LLC CurrentSince Feb 10, 2025 Accepting new patients
Georgia Emergency Medicine Specialists, PC Past Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1130 17th Ave S
Great Falls, MT 59405
Phone (406) 771-4500

2316 US Highway 93 N
Kalispell, MT 59901
Phone (406) 755-3991

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

1305 E 7th St
Whitefish, MT 59937
Phone 2087399961103

Interoperability endpoints

  • Direct secure messaging: swalter3706560@wm.providencedirect.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1154301026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48298",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048298",
            "telephone_number": "706-543-3449",
            "fax_number": "706-543-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063712",
            "telephone_number": "706-543-3449",
            "fax_number": "706-543-5744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 13th Ave E",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598605315",
            "country_code": "US",
            "telephone_number": "406-883-5680",
            "fax_number": "406-883-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "SHERRY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-197665",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "134482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000870042A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.