Individual provider Active NPI

Joseph Windham Walters III, MD

  • Psychiatry Physician
  • Bluffton, SC
National Provider Identifier
1235263252
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24103 Issued in SC
Practice address
25 Clark Summit Dr Ste F201
Lowcountry Psychiatric Associates
Bluffton, SC 29910-4205
Phone
(843) 757-4737
Fax
(843) 757-4585
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 24103 SC Primary

Addresses

Primary practice location

25 Clark Summit Dr Ste F201
Lowcountry Psychiatric Associates
Bluffton, SC 29910-4205

Mailing address

25 Clark Summit Dr Ste F201
Lowcountry Psychiatric Associates
Bluffton, SC 29910-4205
Phone (843) 757-4737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 18, 2013 through Jun 18, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24103SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Psychiatric Associates Psychiatry PastSince Feb 1, 2008 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1235263252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR STE F201",
            "address_2": "LOWCOUNTRY PSYCHIATRIC ASSOCIATES",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104205",
            "telephone_number": "843-757-4737",
            "fax_number": "843-757-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR STE F201",
            "address_2": "LOWCOUNTRY PSYCHIATRIC ASSOCIATES",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104205",
            "telephone_number": "843-757-4737",
            "fax_number": "843-757-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JOSEPH",
        "middle_name": "WINDHAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "24103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.