John Leroy Walker, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

3688 Creekstone Dr
Peachtree Corners, GA 30092-2474

Phone

(678) 691-6529

Fax

(770) 840-7464

NPI assigned

Apr 4, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Peachtree Surgical Associates

  • Surgical Physician Assistant
  • Norcross, GA
  • NPI 1487950275
  NPD (past) Authorized official
• Physicians First Assist

  • Surgical Physician Assistant
  • Norcross, GA
  • NPI 1649498064
  NPD (past) Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1457473241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923821",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300103821",
            "telephone_number": "770-985-4257",
            "fax_number": "770-985-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 CREEKSTONE DR",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922474",
            "telephone_number": "678-691-6529",
            "fax_number": "770-840-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOHN",
        "middle_name": "LEROY",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quy Van, DO
• Kari LW Vance, NP
• Vera Whole Health Wa PC (Vera Whole Health)
• Kruti Vora, DC
• Stephanie Diane Wade
• Selai Wallace
• Daniel Wang, LPC
• Kimberly Wang, LPC
• Warby Parker Inc.
• Lillie Washington, FNP-C

• Surgical Physician Assistant in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.