Kayla Elizabeth Walker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

305 Grady Rd Ste B
Etowah, TN 37331-1911

Phone

(423) 263-0722

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kayla Elizabeth Petty Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athens Physicians Practice LLCGroup PAC ID 2163490319, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kayla.walker.1@19363.direct.athenahealth.com

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.

• Athens Physicians Practice, LLC

  dba Starr Orthopedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Athens, TN
  • NPI 1689055774
  Medicare reassignment Care Compare group NPD (past)
• Athens Physicians Practice LLC

  dba Starr Regional Family Practice - Etowah

  • Rural Health Clinic/Center
  • Etowah, TN
  • NPI 1508627175
  NPD
• Athens Physicians Practice LLC

  dba Athens Family Practice

  • Rural Health Clinic/Center
  • Athens, TN
  • NPI 1629097738
  NPD
• Athens Physicians Practice LLC

  dba William R. Bowers MD

  • Family Medicine Physician
  • Athens, TN
  • NPI 1073532123
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Athens Regional Medical Center LLC

  dba Starr Regional Medical Center

  • General Acute Care Hospital
  • Athens, TN
  • NPI 1669567319
  Care Compare affiliation

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1326809849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 COUNTY ROAD 523",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373037419",
            "telephone_number": "706-851-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 GRADY RD STE B",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311911",
            "telephone_number": "423-263-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KAYLA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "PETTY",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brad Traverse
• Nathan Craig Trentham, MD
• Donna Cheryll Valadez, FNP
• Volunteer Anesthesia United, LLC
• Walgreen Co (Walgreens #17590)
• Donald H. Watters, MD
• Russell Brandon Watters III, MD
• Celeste R Watts, RPH
• Jordon Weise, LAT,ATC
• Toikus Z Westbrook, MD

• Physician Assistant in Etowah, TN
• Providers in Etowah, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.