Individual provider Active NPI

Gena J Markwalter, NP

  • Critical Care Medicine Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1508993924
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
RN129040 Issued in GA
Practice address
3647 J Dewey Gray Cir Ste 200
Augusta, GA 30909-2205
Phone
(706) 504-9712
Fax
(706) 504-9703
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN129040 GA
Critical Care Medicine Nurse Practitioner 363LC0200X RN129040 GA Primary

Addresses

Primary practice location

3647 J Dewey Gray Cir Ste 200
Augusta, GA 30909-2205

Mailing address

PO Box 3548
Augusta, GA 30914-3548
Phone (706) 863-9595

Other names 1

  • Gena Lynn Markwalter Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100909001057 GA Practitioner - Nurse Practitioner 6901921212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical College of Georgia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burn Critical Care Associates LLCGroup PAC ID 6204103625, 10 clinicians

Practice addresses (Care Compare)

3651 Wheeler Rd
Burn Unit
Augusta, GA 30909-6521
Phone (706) 651-3232

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Critical Care Medicine LLC CurrentSince Jun 7, 2015 Accepting new patients
Burn Critical Care Associates, LLC CurrentSince Feb 1, 2021 Accepting new patients
Southern Internal Medicine Critical Care Associates, LLC Past Accepting new patients
Umg Infectious Disease LLC PastSince Sep 13, 2015 Accepting new patients
Acute Care Consultants, Inc Past Accepting new patients
Burn and Reconstructive Centers of Virginia, PLLC PastSince Nov 8, 2020 Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

3624 J Dewey Gray Cir
Ste 304
Augusta, GA 30909

1350 Walton Way
Fl 3
Augusta, GA 30901
Phone (706) 774-5713

Interoperability endpoints

  • Direct secure messaging: gena.markwalter.p4@direct.aac.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1508993924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3548",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143548",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 J DEWEY GRAY CIR STE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092205",
            "telephone_number": "706-504-9712",
            "fax_number": "706-504-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKWALTER",
        "first_name": "GENA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN129040",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "GA",
            "license": "RN129040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENA",
            "last_name": "MARKWALTER",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.