Antiqua Walker

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

11D2240079 Issued in GA

Practice address

2751 Buford Hwy NE Ste 700
Atlanta, GA 30324-5510

Phone

(877) 839-3988

NPI assigned

Feb 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trillionheir Holdings LLC

  • Clinical Medical Laboratory
  • Atlanta, GA
  • NPI 1891492807
  NPD Authorized official
• Twin Bridge Market LLC

  • Health Service Clinic/Center
  • Atlanta, GA
  • NPI 1578260584
  NPD Authorized official

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1679226203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245510",
            "telephone_number": "404-520-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245510",
            "telephone_number": "877-839-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ANTIQUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "GA",
            "license": "11D2240079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ceo@trillionhealthsystems.com",
            "affiliation": "N",
            "address_1": "2751 Buford Hwy NE Ste 700",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303245510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alex Walker
• Aljoeson Walker II, PT, DPT
• Allegra Renee Crews Walker, MSN APRN CNM
• Amanda Kristin Walker
• Angela Walker, S/T
• Atarah Walker
• Audrea Deshon Walker, MASSAGE THERPAIST
• Bruce F Walker, MD
• Caroline Elizabeth Walker
• Casy Walker, M.ED., CCC-SLP

• Clinical Laboratory Director (Non-physician) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Laboratory Director (Non-physician) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.