William Mark Walters, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

028904 Issued in GA

Practice address

2578 Helen Hwy
Cleveland, GA 30528-2848

Phone

(770) 219-9260

Fax

(770) 219-9261

NPI assigned

Jul 13, 2006

Last updated

Oct 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

88.16 of 100Reported as group

Quality

85.71

Promoting interoperability

100

Improvement activities

40

Cost

74.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wwalters29473@nghs.gadirect.net

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.

• Clay County

  dba Clay County Health Department

  • State or Local Public Health Clinic/Center
  • Hayesville, NC
  • NPI 1629159884
  Medicare reassignment NPD
• Northeast Georgia Physicians Group Urgent Care LLC

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1790875037
  Medicare reassignment
• Clay County

  dba Clay County EMS

  • Land Ambulance
  • Hayesville, NC
  • NPI 1063459907
  NPD
• Phoenix Emergency Services of Murphy PLLC

  • Emergency Medicine Physician
  • Murphy, NC
  • NPI 1326382698
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1659396950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 HELEN HWY",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305282848",
            "telephone_number": "770-219-9260",
            "fax_number": "770-219-9261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3990 E US 64 Alt",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "NC",
            "postal_code": "289066843",
            "country_code": "US",
            "telephone_number": "828-837-8161",
            "fax_number": "828-835-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "WILLIAM",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "38570",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "028904",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "028904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "898553B",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwalters29473@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2578 Helen Hwy",
            "city": "Cleveland",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305282848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allyson Brooke Wakenigg
• Wal-Mart Stores East LP (WalMart Pharmacy 10-4616)
• Pam Jean Walcott, PT
• Walgreen Co (Walgreens #18250)
• Edward Hugh Wall, DMD
• Wellspring Therapy Associates, LLC
• Westmoreland Haven, Inc. (Mountain Haven)
• Julie Ann Wheeler, LPC
• Christopher Whitaker, PA-C
• White County Board of Commissioners (White County EMS)

• Family Medicine Physician in Cleveland, GA
• Providers in Cleveland, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.