NPIMap

Individual provider Active NPI

Robert Walker

  • Emergency Medicine Physician
  • Hazlehurst, MS
National Provider Identifier
1649216680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10032 Issued in MO
Practice address
233 Magnolia St
Hazlehurst, MS 39083-2228
Phone
(800) 291-4020
Fax
(919) 419-7247
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 10032 MO Primary

Addresses

Primary practice location

233 Magnolia St
Hazlehurst, MS 39083-2228

Mailing address

3211 Shannon Rd
Suite 300
Durham, NC 27707-6322
Phone (800) 291-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040921000682 MS Practitioner - Family PracticePractitioner - Emergency Medicine 4981672623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Copiah County Medical CenterGroup PAC ID 2062583487, 19 clinicians

Practice addresses (Care Compare)

27190 Hwy 28
Hazlehurst, MS 39083-2224
Phone (601) 574-7000

Hospital & facility affiliations

  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • Centerwell Home Health Home health agency, Hazlehurst, MS, CCN 257304
  • Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
  • Copiah County Medical Center Hospital, Hazlehurst, MS, CCN 251327
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • Copiah Living Center Nursing home, Crystal Springs, MS, CCN 255291
  • Pine Crest Guest Home Inc Nursing home, Hazlehurst, MS, CCN 255210

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10032MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copiah County Medical Center CurrentSince May 1, 2022 Accepting new patients
Copiah County Medical Center CurrentSince Nov 5, 1998 Accepting new patients
Copiah County Medical Center CurrentSince Nov 5, 1998 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine Past Accepting new patients
Pinecrest LLC Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Copiah Community Care Center LLC Past Accepting new patients

Locations

123 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-2225

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

233 Magnolia St
Hazlehurst, MS 39083
Phone (601) 894-4541

213 Caldwell Dr
Hazlehurst, MS 39083
Phone (601) 892-2225

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
Copiah Living CenterCrystal Springs, MS, CCN 255291 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 27, 2010
Sep 27, 2010

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 7

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.

Hospital & facility affiliations 7

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649216680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 SHANNON RD",
            "address_2": "SUITE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076322",
            "telephone_number": "800-291-4020",
            "fax_number": "919-419-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MAGNOLIA ST",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832228",
            "telephone_number": "800-291-4020",
            "fax_number": "919-419-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "10032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, MS

Sources for this page

Verify at the official NPI Registry.