Walton Rehabiltation Hospital

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

121421 Issued in GA

Legal business name

WALTON REHABILTATION HOSPITAL

Doing business as

Walton Rehabilitation Hospital

Practice address

1355 Independence Dr
Augusta, GA 30901-1037

Phone

(706) 724-7746

Fax

(706) 823-8681

NPI assigned

Oct 4, 2006

Last updated

Jan 16, 2013By 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

Mr. Michael Andre Harrell, MSA

Title

Chief Financial Officer

Phone

(706) 724-7746

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Walton Rehabilitation Hospital Doing business as

Locations

Practitioners 3

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.

• Nathan H Brandon, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Evans, GA
  • NPI 1528060803
  NPD (past)
• Marc S Husid, M.D.

  • Neurology Physician
  • Fort Gordon, GA
  • NPI 1366492209
  NPD (past)
• Hemant K. Yagnick, MD

  • Pain Medicine (Anesthesiology) Physician
  • Evans, GA
  • NPI 1932205879
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1699860817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 INDEPENDENCE DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011037",
            "telephone_number": "706-724-7746",
            "fax_number": "706-823-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 INDEPENDENCE DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011037",
            "telephone_number": "706-724-7746",
            "fax_number": "706-823-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON REHABILTATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "706-724-7746",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSA"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "GA",
            "license": "121421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003683879",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walton Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gordon Leslie Walters, MD
• Karen B Walters, R.D.
• Laura Walters, FNP, RN
• Paul Andrew Walters III, PH.D.
• Walton Innovations Inc. (Walton Innovations)
• Angelia Rosier Walton, PHARM.D.
• Delasha Walton
• James Patrick Walton, M.D.
• Stephen Joshua Walton, PHARMD
• Vickie Walton

• Rehabilitation Hospital in Augusta, GA
• Providers in Augusta, GA by specialty
• Rehabilitation Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.