Roscoe Carl Walls Jr., FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN253514 Issued in GA

Practice address

118 Azalea Rd
St 1
Baxley, GA 31513-7598

Phone

(912) 785-2676

NPI assigned

Apr 26, 2023

Last updated

Aug 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 GA

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

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Appling Healthcare Hospital, Baxley, GA, CCN 110071

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBIBDD

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.

• Vitalocity Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Baxley, GA
  • NPI 1124854153
  Medicare reassignment NPD Authorized official
• Yurhealth, LLC

  • Family Medicine Physician
  • Millen, GA
  • NPI 1104520477
  NPD (past)
• Yurhealth, LLC

  • Family Medicine Physician
  • Baxley, GA
  • NPI 1316756927
  NPD (past)

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

• The Baxley and Appling County Hospital Authority

  dba appling healthcare system

  • General Acute Care Hospital
  • Baxley, GA
  • NPI 1861615304
  Care Compare affiliation

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1376231597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 DEERFIELD DR",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315137598",
            "telephone_number": "912-785-2676",
            "fax_number": "912-785-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 AZALEA RD",
            "address_2": "ST 1",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315137598",
            "telephone_number": "912-785-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "ROSCOE",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-26",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN253514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003285774C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vidalia Health Services, LLC (Sleep Center-Baxley, a department of Memorial Health Meadows Hospital)
• Vitalocity Urgent Care, LLC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5392)
• Walk by Faith Family Care
• Chyna Walker
• Melissa Walsh, RPH
• Wayne Family Practice Associates, P.C.
• Hope Webster, PT, DPT
• Hayley Sheppard White, CCC-SLP
• Keena McNease White

• Family Nurse Practitioner in Baxley, GA
• Providers in Baxley, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.