Active NPI
Corine Godfrey Walker
- Health Educator
- Moultrie, GA
National Provider Identifier
1659927408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1364 Tucker Rd
Moultrie, GA 31768-8305 - Phone
- (229) 891-1019
- NPI assigned
- Aug 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
1364 Tucker Rd
Moultrie, GA 31768-8305
Mailing address
1364 Tucker Rd
Moultrie, GA 31768-8305
Phone (229) 891-1019
Other practice location 1
1364 Tucker Rd
Moultrie, GA 31768-8305
Phone (229) 891-1019
Other practice location 2
1306 S Slappey Blvd Ste A
Albany, GA 31701-2635
Phone (229) 299-4447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1659927408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 TUCKER RD",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317688305",
"telephone_number": "229-891-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 TUCKER RD",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317688305",
"telephone_number": "229-891-1019"
}
],
"practiceLocations": [
{
"address_1": "1364 Tucker Rd",
"address_purpose": "LOCATION",
"city": "Moultrie",
"state": "GA",
"postal_code": "317688305",
"country_code": "US",
"telephone_number": "229-891-1019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1306 S Slappey Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "GA",
"postal_code": "317012635",
"country_code": "US",
"telephone_number": "229-299-4447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "CORINE",
"middle_name": "GODFREY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.