NPIMap

Organization Active NPI

Walker Home Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Statesboro, GA
National Provider Identifier
1235226556
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WALKER HOME MEDICAL INC
Practice address
2467 Northside Dr W
Statesboro, GA 30458-2153
Phone
(912) 681-3838
Fax
(912) 681-3839
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Roswell Lindsay WalkerNPI 1023020351
Title
President
Phone
(912) 764-6175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X GA Primary

Addresses

Primary practice location

2467 Northside Dr W
Statesboro, GA 30458-2153

Mailing address

PO Box 2088
Statesboro, GA 30459-2088
Phone (912) 681-3838

Other identifiers 1

IdentifierTypeStateIssuer
000286899BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930010174 GA DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 0648476085 Practice locations: Statesboro, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Walker Home Medical Inc2467 Northside Dr W, Statesboro, GA 30458-2153(912) 681-3838 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mat… Does not accept assignmentParticipating since Jan 9, 2008

National Provider Directory

National Provider Directory
Tax ID family
Walker Home Medical Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1235226556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2088",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304592088",
            "telephone_number": "912-681-3838",
            "fax_number": "912-681-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2467 NORTHSIDE DR W",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582153",
            "telephone_number": "912-681-3838",
            "fax_number": "912-681-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER HOME MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ROSWELL",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-764-6175"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000286899B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.