Individual provider Active NPI

Corine Godfrey Walker

  • Health Educator
  • Moultrie, GA
National Provider Identifier
1659927408
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
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

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.