Organization Active NPI

Charles a. Walker Dba Walker Pain Management Centers

  • Specialist
  • Jackson, TN
National Provider Identifier
1336674621
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHARLES A. WALKER DBA WALKER PAIN MANAGEMENT CENTERS
Practice address
18 Stonecreek Cir
Suite 103
Jackson, TN 38305-6021
Phone
(731) 664-4850
Fax
(731) 644-0887
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Heather A Page, MBA
Title
Practice Administrator
Phone
(731) 644-0144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

18 Stonecreek Cir
Suite 103
Jackson, TN 38305-6021

Mailing address

18 Stonecreek Cir
Suite 103
Jackson, TN 38305-6021
Phone (731) 664-4850

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1089141Walker Pain Management Centers18 Stonecreek CR, Suite 103, Jackson, TN 38305Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory
Tax ID family
Charles a Walker Dba Walker Pain Management Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18 Stonecreek Cir
Ste 103
Jackson, TN 38305
Phone (731) 664-4850

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1336674621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 STONECREEK CIR",
            "address_2": "SUITE 103",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056021",
            "telephone_number": "731-664-4850",
            "fax_number": "731-644-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 STONECREEK CIR",
            "address_2": "SUITE 103",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056021",
            "telephone_number": "731-664-4850",
            "fax_number": "731-644-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A. WALKER DBA WALKER PAIN MANAGEMENT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "731-644-0144",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.