Individual provider Active NPI

Elaine Virginia Walker, P.A.

  • Physician Assistant
  • Butner, NC
National Provider Identifier
1275689713
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101464 Issued in NC
Practice address
1003 12TH St
Butner, NC 27509-1626
Phone
(919) 575-7233
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101464 NC Primary

Addresses

Primary practice location

1003 12TH St
Butner, NC 27509-1626

Mailing address

1330 Umstead Hollow CT
Cary, NC 27513
Phone (919) 677-3842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130307000016 NC Practitioner - Physician Assistant 7012162571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
101464NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Behavioral Care, P.a. CurrentSince Jan 8, 2013 Accepting new patients

Locations

510 Dabney Dr
Henderson, NC 27536
Phone (252) 431-0072

289 Olmsted Blvd
Ste 1
Pinehurst, NC 28374
Phone (910) 295-6007

Interoperability endpoints

  • Direct secure messaging: walker.elaine.001.0330050@cbc.meditab.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275689713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 UMSTEAD HOLLOW CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-677-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 12TH ST",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275091626",
            "telephone_number": "919-575-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ELAINE",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butner, NC

Sources for this page

Verify at the official NPI Registry.