Individual provider Active NPI

Kathy Hinman Walker, PHYSICIAN ASST

  • Physician Assistant
  • Calabash, NC
National Provider Identifier
1396746871
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101680 Issued in NC
Practice address
9869 Ocean Hwy W Ste 10
Calabash, NC 28467
Phone
(910) 575-0281
Fax
(910) 550-3773
NPI assigned
Aug 9, 2005
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101680 NC Primary

Addresses

Primary practice location

9869 Ocean Hwy W Ste 10
Calabash, NC 28467

Mailing address

9869 Ocean Hwy W Ste 10
Calabash, NC 28467-2636
Phone (910) 755-6232

Other practice location 1

712 Village Point Road
Suite 206
Shallotte, NC 28470-4458
Phone (910) 755-6232

Other practice location 2

9869 Ocean Hwy W Ste 10
Calabash, NC 28467-2636
Phone (910) 575-0281

Other practice location 3

712 Village Point Road
Suite 206
Shallotte, NC 28470-4458
Phone (910) 755-6232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20101229000371 NC Practitioner - Physician Assistant 5890983241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Family Medical PAGroup PAC ID 2769568492, 3 clinicians

Practice addresses (Care Compare)

712 Village Rd
Suite 104
Shallotte, NC 28470-3449
Phone (910) 754-7607

712 Village Rd SW
Suite 104
Shallotte, NC 28470-3449
Phone (910) 754-7607

9869 Ocean Hwy W
Suite 10
Calabash, NC 28467-2636
Phone (910) 575-0281

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Durham Medical Group PA PastSince Jul 25, 2021 Accepting new patients
William P Walker III Past Accepting new patients
Carolina Shores Healthcare, LLC PastSince Mar 1, 2005 Accepting new patients

Organizations & group practices 5

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 4

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1396746871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9869 OCEAN HWY W STE 10",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "284672636",
            "telephone_number": "910-755-6232",
            "fax_number": "910-755-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9869 OCEAN HWY W STE 10",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "28467",
            "telephone_number": "910-575-0281",
            "fax_number": "910-550-3773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 VILLAGE POINT ROAD",
            "address_2": "SUITE 206",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704458",
            "country_code": "US",
            "telephone_number": "910-755-6232",
            "fax_number": "910-755-5984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9869 Ocean Hwy W Ste 10",
            "address_purpose": "LOCATION",
            "city": "Calabash",
            "state": "NC",
            "postal_code": "284672636",
            "country_code": "US",
            "telephone_number": "910-575-0281",
            "fax_number": "910-550-3773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "712 VILLAGE POINT ROAD",
            "address_2": "SUITE 206",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704458",
            "country_code": "US",
            "telephone_number": "910-755-6232",
            "fax_number": "910-755-5984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KATHY",
        "middle_name": "HINMAN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabash, NC

Sources for this page

Verify at the official NPI Registry.