NPIMap

Organization Active NPI

Walker Medical Diagnostics, LLC

  • Internal Medicine Physician
  • Jasper, AL
National Provider Identifier
1649350646
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8390 Issued in AL
Legal business name
WALKER MEDICAL DIAGNOSTICS, LLC
Practice address
1450 Jones Dairy Road
BLDG 600
Jasper, AL 35501
Phone
(205) 295-4106
Fax
(205) 295-4206
NPI assigned
Oct 16, 2006
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Lee F Stephens
Title
Practice Administrator
Phone
(205) 295-4106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8390 AL Primary

Addresses

Primary practice location

1450 Jones Dairy Road
BLDG 600
Jasper, AL 35501

Mailing address

1450 Jones Dairy Road
BLDG 600
Jasper, AL 35501
Phone (205) 295-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070206000502 AL Part B Supplier - Clinic/Group Practice 8921000845 Receives reassigned benefits from 14 practitioners
Practice locations: Jasper, AL; Carbon Hill, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Walker Medical Diagnostics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31040 1st Ave NE
Ste 4
Carbon Hill, AL 35549
Phone (205) 924-4441

1450 Jones Dairy Rd
Bldg 4
Jasper, AL 35501
Phone (205) 221-0562

1450 Jones Dairy Rd
Bldg 6
Jasper, AL 35501
Phone (205) 295-4100

1450 Jones Dairy Rd
Ste 400
Jasper, AL 35501
Phone (205) 221-0562

1450 Jones Dairy Rd
Ste 500
Jasper, AL 35501
Phone (205) 295-4290

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1649350646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 JONES DAIRY ROAD",
            "address_2": "BLDG 600",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35501",
            "telephone_number": "205-295-4100",
            "fax_number": "205-295-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 JONES DAIRY ROAD",
            "address_2": "BLDG 600",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35501",
            "telephone_number": "205-295-4106",
            "fax_number": "205-295-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER MEDICAL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "205-295-4106"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "8390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.