Individual provider Active NPI

Jessica Barton Walker, PA-C

  • Physician Assistant
  • Columbia, TN
National Provider Identifier
1609231679
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2889 Issued in TN
Practice address
1050 N James Campbell Blvd
Suite 200
Columbia, TN 38401-2754
Phone
(931) 381-2663
Fax
(931) 490-1369
NPI assigned
Dec 17, 2015
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2889 TN Primary

Addresses

Primary practice location

1050 N James Campbell Blvd
Suite 200
Columbia, TN 38401-2754

Mailing address

2000 Callaway Park PL
Thompsons Station, TN 37179-5406

Other practice location 1

1050 N James M Campbell Blvd Ste 200
Columbia, TN 38401-2754
Phone (931) 381-2663

Other identifiers 1

IdentifierTypeStateIssuer
Q019414MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160218001198 TN Practitioner - Physician Assistant 6507161270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4816 Main St
Suite L
Spring Hill, TN 37174-3254
Phone (615) 861-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2889TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Nov 21, 2025 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Nov 21, 2025 Accepting new patients

Locations

1050 N James M Campbell Blvd
Ste 200
Columbia, TN 38401
Phone (931) 381-2661

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

4816 Main St
Ste L
Spring Hill, TN 37174
Phone (615) 861-4444

Interoperability endpoints

  • Direct secure messaging: jessica.walker.1@25094.direct.athenahealth.com
  • Direct secure messaging: jessica.walker@ahp.eclinicaldirectplus.com
  • Direct secure messaging: jessica.walkerpac.p1@direct.mtbj.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1609231679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CALLAWAY PARK PL",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N JAMES CAMPBELL BLVD",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012754",
            "telephone_number": "931-381-2663",
            "fax_number": "931-490-1369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 N James M Campbell Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384012754",
            "country_code": "US",
            "telephone_number": "931-381-2663",
            "fax_number": "931-490-1369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JESSICA",
        "middle_name": "BARTON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019414",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.