Individual provider Active NPI

Andy Charles Walker Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Greenville, SC
National Provider Identifier
1679758999
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3464 Issued in SC
Practice address
701 Grove Rd
Greenville, SC 29605-5611
Phone
(864) 455-7000
NPI assigned
Jan 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3464 SC Primary

Addresses

Primary practice location

701 Grove Rd
Greenville, SC 29605-5611

Mailing address

1007 Azalea Hill Dr
Greenville, SC 29607-3877
Phone (864) 915-8484

Other practice location 1

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080310000705 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981789328 Reassigns benefits to 6 organizations
I20150908002915 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981789328 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Anesthesia Associates PAGroup PAC ID 1456251057, 67 clinicians
Carolina Regional Anesthesia PLLCGroup PAC ID 5496921769, 51 clinicians
Providence Anesthesiology Associates PAGroup PAC ID 3971566761, 218 clinicians

Practice addresses (Care Compare)

101 Surgeons Dr
Myrtle Beach, SC 29579-5198
Phone (843) 651-2624

1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-3491

1918 Randolph Rd
Suite 740
Charlotte, NC 28207-1167
Phone (704) 316-0810

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 499-6098

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
5228NCMDSpecialist
3464SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group Anesthesiology CurrentSince Feb 19, 2024 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Jan 15, 2023 Accepting new patients
Concordia Anesthesiology, Inc Anesthesiology CurrentSince Apr 13, 2020 Accepting new patients
Coastal Carolina Sedation Associates, LLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Prisma Health-Midlands CurrentSince Jul 1, 2020 Accepting new patients
Prisma Health-Midlands Current Accepting new patients
Tidelands Anesthesia Group LLC Anesthesiology CurrentSince Sep 2, 2025 Accepting new patients
Prisma Health-Midlands Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Prisma Health University Medical Group CurrentSince Feb 19, 2024 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Sep 15, 2022 Accepting new patients
SC Anesthesiology LLC Anesthesiology CurrentSince Oct 26, 2020 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Oct 15, 2018 Accepting new patients
Providence Anesthesiology Associates, P.a. Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients
Greenville Health System Past Accepting new patients
Anesthesia Network Services, LLC Anesthesiology Past Accepting new patients
Pain Management, LLC Past Accepting new patients

Locations

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

1920 Pickens St
Columbia, SC 29201
Phone (803) 254-7732

1520 Taylor St
Columbia, SC 29201
Phone (803) 254-8449

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

131 Summerplace Dr
West Columbia, SC 29169
Phone (803) 794-4585

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1679758999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 AZALEA HILL DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073877",
            "telephone_number": "864-915-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055611",
            "telephone_number": "864-455-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ANDY",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-05",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "3464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.