Keri Wallis, MSN-ED, RN, CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN245208 Issued in GA

Practice address

113 Scenic CT NW
Milledgeville, GA 31061-7904

Phone

(478) 234-5419

Fax

(888) 534-9401

NPI assigned

Apr 11, 2023

Sex

Female

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1548955842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SCENIC CT NW",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617904",
            "telephone_number": "478-234-5419",
            "fax_number": "888-534-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SCENIC CT NW",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617904",
            "telephone_number": "478-234-5419",
            "fax_number": "888-534-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "KERI",
        "credential": "MSN-ED, RN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN245208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turkessa J. Walker, MD
• William I Waller III, M.D.
• Gregory S Waller, H.I.S.
• Lindsay Constance Waller, BCBA
• Myia Waller
• Nancy Cheek Walraven
• Elizabeth Walters, LPC
• Andrea Jenell Webb, LAPC, NCC
• Katherine Hitchcock Webster, MSN, APRN, BC
• Stephanie McNabb Welch, NP-C

• Case Management Registered Nurse in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Case Management Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.