Bridget Walters
Individual provider Active NPI Family Nurse Practitioner · Ocilla, GA
NPI 1669880456 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1669880456
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN-NP146103 (GA)
- Practice address
- 361 Cargile Rd
Ocilla, GA 31774-3606 - Phone
- (229) 468-3975
- Fax
- (229) 468-0090
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Albany Medical College of Union University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ich Physician Group
Practice addresses (Care Compare)
357 Cargile Rd
Ocilla, GA 31774-3606
Phone (229) 468-3800
361 Cargile Rd
Ocilla, GA 31774-3606
Phone (229) 468-3975
Hospital & facility affiliations
- Irwin County Hospital
- Dorminy Medical Center
- Dorminy Medical Center
- Tift Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150206001177 | GA | Practitioner - Nurse Practitioner | 6507181955 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP146103 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ich Physician Group | Current |
Accepting new patients | |
| Ich Physician Group | Current |
Accepting new patients | |
| Irwin County Hospital | Current |
Accepting new patients |
Locations
710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800
357 Cargile Rd
Ocilla, GA 31774
Phone (229) 468-3800
361 Cargile Rd
Ocilla, GA 31774
Phone (229) 468-3975
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-NP146103 | GA | Yes |
Addresses
Primary practice location
361 Cargile Rd
Ocilla, GA 31774-3606
Mailing address
361 Cargile Rd
Ocilla, GA 31774-3606
Other providers in Ocilla, GA
- Sunny Dale Service Center
- Sebrina King Taylor
- Tift Regional Health System Inc
- Tift Regional Health System Inc
- Tift Regional Health System Inc
- Jodi Willingham
- Alexander A Wills
- Charles Ashley Wills
- James Michael Wilson
All providers in Ocilla, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.