Jocilli Walton

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RN253106 Issued in GA

Practice address

831 Auburn Rd Ste 230
Dacula, GA 30019-5437

Phone

(678) 232-7332

Fax

(470) 300-1100

NPI assigned

Feb 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Nurse Practitioner

Education

Emory University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mulberryprimarycare.jocilliwalton@158640.advancedmd-direct.com

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.

• Mulberry Primary Care LLC

  • Family Medicine Physician
  • Dacula, GA
  • NPI 1689435448
  Medicare reassignment NPD Authorized official
• Buford Care Inc

  • Internal Medicine Physician
  • Buford, GA
  • NPI 1154504751
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1174089452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 WILDFLOWER WAY",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305483653",
            "telephone_number": "678-736-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 AUBURN RD STE 230",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195437",
            "telephone_number": "678-232-7332",
            "fax_number": "470-300-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "JOCILLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN253106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Vincent Valeus, LCSW
• Virtually Urgent Healthcare
• Alina Lavinia Vlasin-Morariu
• Walgreen Co
• Walgreen Co
• Alyssa Walz
• Daren C Wannamaker, DO
• Mary Carly Warbington, OTR/L
• Jeremy Robert Ward, DMD
• Andrea Rose Watson, PTA

• Family Medicine Physician in Dacula, GA
• Providers in Dacula, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.