Paul Lance Walker, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

046272 Issued in GA

Practice address

1810 White Cir
Suite 155
Marietta, GA 30066-5835

Phone

(877) 613-1990

NPI assigned

Oct 6, 2006

Last updated

Sep 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• Pointmed

  • Family Medicine Physician
  • Marietta, GA
  • NPI 1699058131
  NPD (past) Authorized official
• Floyd Healthcare Management Inc

  dba Atrium Health Floyd Specialty Pharmacy

  • Specialty Pharmacy
  • Rome, GA
  • NPI 1548056468
  NPD (past)
• O'Barr Internal Medicine, PC

  • Internal Medicine Physician
  • Blue Ridge, GA
  • NPI 1760616320
  NPD (past)
• Primary Care Partners, PC

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1306939657
  NPD (past)
• Raleigh Durham Medical Group PA

  dba Orange Family Medical Group

  • Family Medicine Physician
  • Hillsborough, NC
  • NPI 1194828145
  NPD (past)
• Roxboro Family Medicine & Immediate

  • Family Medicine Physician
  • Roxboro, NC
  • NPI 1619908233
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1356438097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WHITE CIR",
            "address_2": "SUITE 155",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665835",
            "telephone_number": "877-613-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WHITE CIR",
            "address_2": "SUITE 155",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665835",
            "telephone_number": "877-613-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "PAUL",
        "middle_name": "LANCE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "046272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000804218E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Walker, PHD
• Erin Nicole Walker
• La Tosha Eugena Walker, CSA
• Nicole Shenell Walker
• Olivia Marie Walker
• Priscilla Walker, FNP-C
• Samiya Walker, RBT
• Sanomi Walker, RBT
• Tanesha Danielle Walker, LPC
• Tashianna Walker, COA

• Family Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.