Organization Active NPI

Walker Recovery Center

  • Methadone Clinic
  • Jasper, AL
National Provider Identifier
1508386541
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
WALKER RECOVERY CENTER
Practice address
2195 North Airport Road
Jasper, AL 35213
Phone
(205) 221-1796
Fax
(205) 221-1802
NPI assigned
Jun 21, 2017
Last updated
Dec 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Patricia Ann Waldrop, CRNPNPI 1811381411
Title
Ceo
Phone
(205) 221-1799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

2195 North Airport Road
Jasper, AL 35213

Mailing address

2195 North Airport Road
Jasper, AL 35504
Phone (205) 221-1796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200114003637 AL Part B Supplier - Opioid Treatment Program (Otp) 2961837265 Practice locations: Jasper, AL

National Provider Directory

National Provider Directory

Locations

2195 N Airport Rd
Jasper, AL 35504
Phone (205) 221-1796

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1508386541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 NORTH AIRPORT ROAD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35504",
            "telephone_number": "205-221-1796",
            "fax_number": "205-221-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 NORTH AIRPORT ROAD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35213",
            "telephone_number": "205-221-1796",
            "fax_number": "205-221-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-221-1799",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.