NPIMap

Individual provider Active NPI

Samuel Patrick Walker Sr., M.D.

  • Internal Medicine Physician
  • Luverne, AL
National Provider Identifier
1639258254
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6744 Issued in AL
Practice address
39 Roy Beall Dr
Luverne, AL 36049-6805
Phone
(334) 335-6515
Fax
(334) 335-2105
NPI assigned
Nov 3, 2006
Last updated
Sep 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6744 AL Primary

Addresses

Primary practice location

39 Roy Beall Dr
Luverne, AL 36049-6805

Mailing address

PO Box 407
Luverne, AL 36049-0407
Phone (334) 335-6515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000496 AL Practitioner - Emergency MedicinePractitioner - Internal Medicine 0547332181 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
University of Alabama School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Resources Management of Crenshaw LLCGroup PAC ID 8325006604, 2 clinicians
Keystone Medical Services of Alabama, Inc.Group PAC ID 7719365352, 12 clinicians
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Practice addresses (Care Compare)

101 Hospital Cir
Luverne, AL 36049-7329
Phone (334) 335-3374

101 Hospital Dr
Luverne, AL 36049-7344
Phone (334) 335-3374

PO Box
Suite 407
Luverne, AL 36049-0407

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6744ALMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Newgen Alabama Billing LLC CurrentSince Nov 17, 2024 Accepting new patients
Crenshaw County Health Care Authority Internal Medicine CurrentSince Jul 1, 2002 Accepting new patients
Ess of Luverne LLC CurrentSince Dec 1, 2020 Accepting new patients
Luverne Health Clinic, P.a. Internal Medicine CurrentSince Jun 11, 2008 Accepting new patients
Crenshaw County Health Care Authority CurrentSince Jul 1, 2002 Accepting new patients
Keystone Medical Services of Alabama, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Self-Recovery, LLC Past Accepting new patients
Luverne Health and Rehabilitation, LLC Past Accepting new patients

Locations

101 Hospital Dr
Luverne, AL 36049
Phone (334) 335-3374

39 Roy Beall Dr
Luverne, AL 36049
Phone (334) 335-6515

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aveanna Hospice of GreenvilleGreenville, AL, CCN 011582 Hospice W-2 Managing Employee Mar 19, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1639258254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360490407",
            "telephone_number": "334-335-6515",
            "fax_number": "334-335-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 ROY BEALL DR",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360496805",
            "telephone_number": "334-335-6515",
            "fax_number": "334-335-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SAMUEL",
        "middle_name": "PATRICK",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "6744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luverne, AL

Sources for this page

Verify at the official NPI Registry.