Individual provider Active NPI

Clark Monroe Walker, M.D.

  • Orthopaedic Surgery Physician
  • Newnan, GA
National Provider Identifier
1346653714
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0062022 Issued in CO
Practice address
1755 Highway 34 E Ste 2200
Newnan, GA 30265-3190
Phone
(770) 502-2175
NPI assigned
Jun 3, 2014
Last updated
Apr 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X LL36940 SC
Orthopaedic Surgery Physician 207X00000X 84658 GA
Orthopaedic Surgery Physician 207X00000X 0062022 CO Primary

Addresses

Primary practice location

1755 Highway 34 E Ste 2200
Newnan, GA 30265-3190

Mailing address

1755 Highway 34 E Ste 2200
Newnan, GA 30265-3190
Phone (770) 502-2175

Other practice location 1

701 Grove Rd
2nd Floor Support Tower
Greenville, SC 29605-4210
Phone (864) 455-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200602002509 GA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3173742160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Mississippi School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Bone and Joint, LLCGroup PAC ID 0446291140, 49 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1755 Hwy 34 E
Suite 2200
Newnan, GA 30265-3190
Phone (770) 502-2175

8509 Hospital Dr
Douglasville, GA 30134-2414
Phone (770) 947-5440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0062022COMDOrthopaedic Surgery Physician
LL36940SCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Bone & Joint, LLC Orthopaedic Surgery CurrentSince Jun 1, 2020 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Jan 2, 2022 Accepting new patients
Georgia Bone & Joint, LLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

1755 Highway 34 E
Ste 2200
Newnan, GA 30265
Phone (770) 502-2151

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1346653714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 HIGHWAY 34 E STE 2200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653190",
            "telephone_number": "770-502-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 HIGHWAY 34 E STE 2200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653190",
            "telephone_number": "770-502-2175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd",
            "address_2": "2nd Floor Support Tower",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-7878",
            "fax_number": "864-455-7082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CLARK",
        "middle_name": "MONROE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "LL36940",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "84658",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "0062022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.