Individual provider Active NPI

Forrest Blake Walker, M.D.

  • Diagnostic Radiology Physician
  • Augusta, GA
National Provider Identifier
1174746028
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36188 Issued in AZ
Practice address
1350 Walton Way
Augusta, GA 30901-2612
Phone
(706) 774-5000
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 36188 AZ Primary
Diagnostic Radiology Physician 2085R0202X 061014 GA
Body Imaging Physician 2085B0100X 061014 GA
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 061014 GA
Diagnostic Ultrasound Physician 2085U0001X 061014 GA
Neuroradiology Physician 2085N0700X 061014 GA
Nuclear Radiology Physician 2085N0904X 061014 GA
Pediatric Radiology Physician 2085P0229X 061014 GA
Vascular & Interventional Radiology Physician 2085R0204X 061014 GA

Addresses

Primary practice location

1350 Walton Way
Augusta, GA 30901-2612

Mailing address

1125 Troupe St
Augusta, GA 30904-4480
Phone (706) 737-4575

Other identifiers 2

IdentifierTypeStateIssuer
212032MedicaidAZ
P00431756OtherAZRAILROAD MEDICARE

Other names 1

  • Blake Walker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080630000094 GA Practitioner - Diagnostic Radiology 8628176807 Reassigns benefits to 3 organizations
I20241014002286 SC Practitioner - Diagnostic Radiology 8628176807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen W Brown and Radiology Associates of Augusta LLPGroup PAC ID 0244293322, 19 clinicians

Practice addresses (Care Compare)

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-5035

2460 Washington Rd
Thomson, GA 30824-6600
Phone (706) 597-5239

302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 644-1357

351 S Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-3232

818 Saint Sebastian Way
Suite 100
Augusta, GA 30901-2652
Phone (706) 722-3574

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082
  • Burke Medical Center Hospital, Waynesboro, GA, CCN 110113
  • University McDuffie County Regional Medical Center Hospital, Thomson, GA, CCN 110111

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
061014GAMDBody Imaging Physician
36188AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince May 27, 2018 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 18, 2024 Accepting new patients
Au Health Imaging, LLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Stephen W. Brown and Radiology Associates of Augusta LLP Body Imaging CurrentSince Aug 11, 2008 Accepting new patients
Evans Imaging, LLC CurrentSince Aug 1, 2008 Accepting new patients
Au Medical Associates Inc CurrentSince May 27, 2018 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients

Locations

3624 J Dewey Gray Cir
Ste 100
Augusta, GA 30909
Phone (706) 561-6501

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

818 Saint Sebastian Way
Ste 100
Augusta, GA 30901
Phone (706) 722-3574

1125 Troupe St
Augusta, GA 30904
Phone (706) 738-7977

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3610 Wheeler Rd
Augusta, GA 30909
Phone (706) 210-9500

4350 Towne Centre Dr
Evans, GA 30809
Phone (706) 724-4400

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1174746028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TROUPE ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044480",
            "telephone_number": "706-737-4575",
            "fax_number": "706-731-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012612",
            "telephone_number": "706-774-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "FORREST",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "36188",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "061014",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "GA",
            "license": "061014",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "GA",
            "license": "061014",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "GA",
            "license": "061014",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "GA",
            "license": "061014",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "GA",
            "license": "061014",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "GA",
            "license": "061014",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "061014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212032",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00431756",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAKE",
            "last_name": "WALKER",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.