Tracia A A Walters
Individual provider Active NPI Adult Care Home Facility · Rex, GA
NPI 1275414823 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1275414823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- 25064627 (GA)
- Practice address
- 3327 Waggoner LN
Rex, GA 30273-5220 - Phone
- (678) 353-7916
- NPI assigned
- Sep 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25064627 | GA | MD | Adult Care Home Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Kindness Healthcare LLC | Adult Care Home | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 25064627 | GA | Yes |
Addresses
Primary practice location
3327 Waggoner LN
Rex, GA 30273-5220
Mailing address
3327 Waggoner LN
Rex, GA 30273-5220
Phone (678) 353-7916
Other providers in Rex, GA
All providers in Rex, GA · Adult Care Home Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.