James H. Walker,III Dba Sandy Springs Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

109572 Issued in SC

Legal business name

JAMES H. WALKER,III DBA SANDY SPRINGS FAMILY PRACTICE

Practice address

5304 Highway 76
Pendleton, SC 29670-9139

Phone

(864) 261-9100

NPI assigned

Apr 26, 2007

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James H Walker III, M.D.NPI 1871533505

Title

Owner

Phone

(864) 261-9100

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James H Walker III, M.D.

  • Family Medicine Physician
  • Pendleton, SC
  • NPI 1871533505
  Medicare reassignment Authorized official
• Catherine Walker Zocchi, DNP

  • Family Nurse Practitioner
  • Pendleton, SC
  • NPI 1982340469
  Medicare reassignment NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1285854901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "SANDY SPRINGS",
            "state": "SC",
            "postal_code": "296770450",
            "telephone_number": "864-261-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 HIGHWAY 76",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296709139",
            "telephone_number": "864-261-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H. WALKER,III DBA SANDY SPRINGS FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-261-9100",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "109572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080006182",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPO311",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Wayne Goodwin, LPES
• Healthstat on-Site Clinic/Milliken Gerrish
• Healthstat on-Site Clinic/Milliken Pendleton
• Imc of South Carolina
• Innovative Vision Center LLC
• Laura Quarterman Johnson, PHARMACIST
• Shannon Marie Johnson, NP-C
• Audrey SG Jones, MD
• Janice Marie Kendrick
• Baylee Klindworth

• Primary Care Clinic/Center in Pendleton, SC
• Providers in Pendleton, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.