Deja Walls, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1231052

Practice address

2569 Douglass Ave
Memphis, TN 38114-2532

Phone

(901) 842-3164

NPI assigned

Jul 2, 2025

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

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

University of Tennessee, HSC, College of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christ Community Health Services Inc. 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1982686614

  TN

  Medicare reassignment Care Compare group
• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1053572206
  Care Compare group NPD
• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1407017650
  Care Compare group NPD (past)
• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1952562696
  Care Compare group NPD (past)
• Christ Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1609261510
  Care Compare group NPD (past)
• Christ Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1699922401
  Care Compare group NPD (past)
• Christ Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1841513058
  Care Compare group NPD (past)
• Christ Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1922582816
  Care Compare group NPD (past)
• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1770863557
  Care Compare group
• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, TN
  • NPI 1871299297
  Care Compare group
• Christ Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1730707621
  Care Compare group
• Christ Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jackson, TN
  • NPI 1750926549
  Care Compare group

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1376432401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 PRESTANCIA CV S",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381251734",
            "telephone_number": "901-461-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 DOUGLASS AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381142532",
            "telephone_number": "901-842-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "DEJA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1231052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda McCain Waller, NP
• Angela Marie Wallick, M.S., R.D.N, L.D.N.
• Callie Ellen Walls, MD
• Carrie P. Walls, PA
• Dana Doriane Walls, B.S.W
• Demario Walls, R.D.H
• Kelly Walls, PHARM.D.
• Kevin Avein Walls
• Latoya Walls, BSN, RN
• Miracle Ann Walls, DO

• All providers in Memphis, TN
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.