Individual provider Active NPI

Jenna Walton, FNP-C

  • Nurse Practitioner
  • Bonaire, GA
National Provider Identifier
1184240426
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN275278 Issued in GA
Practice address
127 Old Highway 96 Ste B
Bonaire, GA 31005-3461
Phone
(478) 352-7143
Fax
(478) 352-7144
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN275278 GA Primary

Addresses

Primary practice location

127 Old Highway 96 Ste B
Bonaire, GA 31005-3461

Mailing address

PO Box 117598
Atlanta, GA 30368-7598

Other practice location 1

2054 Watson Blvd
Warner Robins, GA 31093-3634
Phone (478) 918-0770

Other practice location 2

1531 Watson Blvd
Warner Robins, GA 31093-3449
Phone (478) 918-0770

Other practice location 3

305 Osigian Blvd
Warner Robins, GA 31088-8953
Phone (478) 953-9999

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200818000163 GA Practitioner - Nurse Practitioner 3779909056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3708 Northside Dr
Macon, GA 31210-2404
Phone (478) 745-4206

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN275278GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Macon Orthopaedic & Hand Center, PA Nurse Practitioner CurrentSince Jun 1, 2020 Accepting new patients
Macon Orthopaedic & Hand Center, PA Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients
Southeast Medical Group, P.C. PastSince Jun 5, 2022 Accepting new patients

Locations

3708 Northside Dr
Macon, GA 31210
Phone (478) 254-5303

301 Margie Dr
Warner Robins, GA 31088
Phone (478) 953-5800

Interoperability endpoints

  • Direct secure messaging: jenna.walton.1@4291.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 4

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 2

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1184240426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117598",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 OLD HIGHWAY 96 STE B",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053461",
            "telephone_number": "478-352-7143",
            "fax_number": "478-352-7144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2054 Watson Blvd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310933634",
            "country_code": "US",
            "telephone_number": "478-918-0770",
            "fax_number": "478-918-0771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1531 Watson Blvd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310933449",
            "country_code": "US",
            "telephone_number": "478-918-0770",
            "fax_number": "478-918-0771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Osigian Blvd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310888953",
            "country_code": "US",
            "telephone_number": "478-953-9999",
            "fax_number": "478-953-7910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "JENNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN275278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonaire, GA

Sources for this page

Verify at the official NPI Registry.