Individual provider Active NPI

Kathryn Walter, D.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1619401429
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009434 Issued in GA
Practice address
950 Cobb Pkwy S Ste 190
Marietta, GA 30060-6500
Phone
(770) 427-7387
Fax
(770) 426-1491
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009434 GA Primary

Addresses

Primary practice location

950 Cobb Pkwy S Ste 190
Marietta, GA 30060-6500

Mailing address

950 Cobb Pkwy S Ste 190
Marietta, GA 30060-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710002591 GA Practitioner - Chiropractic 5294004024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthplus Wellness Center, Inc.Group PAC ID 9931176633, 5 clinicians

Practice addresses (Care Compare)

3473 Satellite Blvd
Suite 208N
Duluth, GA 30096-8690
Phone (770) 427-7387

4870 Peachtree Industrial Blvd
Suite 500
Berkeley Lake, GA 30071-5733
Phone (770) 427-7387

950 Cobb Pkwy S
Suite 190
Marietta, GA 30060-6500
Phone (770) 427-7387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009434GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthplus Wellness Center, Inc. Chiropractor CurrentSince Apr 8, 2017 Accepting new patients

Locations

4870 Peachtree Industrial Blvd
Ste 500
Berkeley Lake, GA 30071
Phone (770) 427-7387

3473 Satellite Blvd
Ste 208N
Duluth, GA 30096
Phone (770) 427-7387

950 Cobb Pkwy S
Ste 190
Marietta, GA 30060
Phone (770) 427-7387

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1619401429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 COBB PKWY S STE 190",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 COBB PKWY S STE 190",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606500",
            "telephone_number": "770-427-7387",
            "fax_number": "770-426-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "KATHRYN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.