Latray Walker, M.ED/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007351 Issued in GA

Practice address

715 Adcock CT
Evans, GA 30809-5104

Phone

(229) 444-4774

NPI assigned

Mar 17, 2011

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693612800000",
    "number": "1528367448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 ADCOCK CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095104",
            "telephone_number": "706-834-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 ADCOCK CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095104",
            "telephone_number": "229-444-4774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300402354",
            "country_code": "US",
            "telephone_number": "770-889-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LATRAY",
        "credential": "M.ED/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wahl
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Buffy Lynn Walker, MS CCC-SLP
• Rebecca Lynne Walker, PTA
• Krystal Ann Wall, FNP-C
• Brett Wallentine, MD
• Adam David Waller, M.D.
• Amy Walsh

• Speech-Language Pathologist in Evans, GA
• Providers in Evans, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2023; 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.