Individual provider Active NPI

Kenneth Brian Walton, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Statesboro, GA
National Provider Identifier
1699719179
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
065436 Issued in GA
Practice address
1497 Fair Rd Ste 200
Statesboro, GA 30458-0824
Phone
(912) 871-7100
Fax
(912) 871-7110
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 065436 GA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 065436 GA Primary

Addresses

Primary practice location

1497 Fair Rd Ste 200
Statesboro, GA 30458-0824

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Other practice location 1

1058 Bermuda Run Road
Statesboro, GA 30458-0858
Phone (912) 871-7100

Other identifiers 5

IdentifierTypeStateIssuer
P01108293OtherGARAILROAD MEDICARE
52343669OtherGABCBS
626252OtherGAWELLCARE
003107922AMedicaidGA
014459259OtherGAAMERIGROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kenneth.walton.1@8824.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110418000195 GA Practitioner - General SurgeryPractitioner - Thoracic Surgery 8325065253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Georgia Hma Physician Management LLCGroup PAC ID 7214068592, 42 clinicians

Practice addresses (Care Compare)

1497 Fair Rd
Suite 102
Statesboro, GA 30458-0823
Phone (912) 486-1676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Pacemaker insertion or repair27
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue30
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Surgical Associates, PC CurrentSince May 1, 2011 Accepting new patients
East Georgia Hma Physician Management, LLC Surgery CurrentSince Feb 1, 2016 Accepting new patients
East Georgia Regional Medical Center, LLC Past Accepting new patients
The Heart Team Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
K. Brian Walton, MD, PLC Surgery Past Accepting new patients
Advanced Diagnostic Imaging, PC Past Accepting new patients

Locations

400 Cedar St
Metter, GA 30439
Phone (912) 685-1726

1497 Fair Rd
Ste 102
Statesboro, GA 30458
Phone (912) 486-1626

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

1497 Fair Rd
Ste 200
Statesboro, GA 30458
Phone (912) 681-3111

1058 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-7100

1497 Fair Rd
Ste 103
Statesboro, GA 30458
Phone (912) 486-1163

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8824/brand/3/csg/1/fhir/r4
  • Direct secure messaging: kenneth.walton.1@8824.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1699719179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 FAIR RD STE 200",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580824",
            "telephone_number": "912-871-7100",
            "fax_number": "912-871-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1058 Bermuda Run Road",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580858",
            "country_code": "US",
            "telephone_number": "912-871-7100",
            "fax_number": "912-871-7110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "KENNETH",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "065436",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "065436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01108293",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52343669",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "626252",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003107922A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "014459259",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenneth.walton.1@8824.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1497 Fair Rd Ste 200",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304580824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.