Beverly D Walker MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

020395 Issued in GA

Legal business name

BEVERLY D WALKER MD

Practice address

311 W 2ND Ave
Albany, GA 31701-2369

Phone

(229) 883-0537

Fax

(229) 883-8831

NPI assigned

Feb 3, 2012

Last updated

Feb 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Beverly Dianne Walker, MDNPI 1629033899

Title

Owner

Phone

(229) 883-0537

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly Dianne Walker, M.D.

  • Pediatric Adolescent Medicine Physician
  • Albany, GA
  • NPI 1629033899
  NPD (past) Authorized official

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1679845804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 2ND AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012369",
            "telephone_number": "229-883-0537",
            "fax_number": "229-883-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 2ND AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012369",
            "telephone_number": "229-883-0537",
            "fax_number": "229-883-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY D WALKER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-883-0537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "020395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000178681A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Albany, GA
• Providers in Albany, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.