Active NPI
Kenneth Brian Walton, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Statesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 065436
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01108293 | Other | GA | RAILROAD MEDICARE |
| 52343669 | Other | GA | BCBS |
| 626252 | Other | GA | WELLCARE |
| 003107922A | Medicaid | GA | |
| 014459259 | Other | GA | AMERIGROUP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General 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
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 100
- Quality
- 76.2
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Pacemaker insertion or repair | 27 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Varicose vein removal | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 30 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Surgical Associates, PC | Current | Accepting new patients | |
| East Georgia Hma Physician Management, LLC | Surgery | Current | 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
- https://api.platform.athenahealth.com/8824/brand/3/csg/1/fhir/r4
- 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.
-
- Internal Medicine Physician
- Statesboro, GA
- NPI 1487983151
Surgery
-
- Specialist
- Statesboro, GA
- NPI 1235141185
-
- Surgery Physician
- Goodlettsville, TN
- NPI 1528104908
-
- General Acute Care Hospital
- Statesboro, GA
- NPI 1265486278
-
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Nashville, TN
- NPI 1700856119
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Statesboro, GA
- NPI 1265486278
-
- Rural Acute Care Hospital
- Swainsboro, GA
- NPI 1235129214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.