Individual provider Active NPI

Eric C Walker

  • Family Medicine Physician
  • Montevallo, AL
National Provider Identifier
1710515499
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47418 Issued in AL
Practice address
33 Salem Rd Ste 2
Montevallo, AL 35115-3586
Phone
(205) 851-2010
Fax
(205) 665-1109
NPI assigned
Mar 30, 2020
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 47418 AL Primary

Addresses

Primary practice location

33 Salem Rd Ste 2
Montevallo, AL 35115-3586

Mailing address

4724 4TH Ave S
Saint Petersburg, FL 33711-1412
Phone (727) 251-0090

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 243-2951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240130000238 AL Practitioner - Family Practice 3274986955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida State University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services IncGroup PAC ID 1557324811, shared by 14 NPIs, 30 clinicians

Practice addresses (Care Compare)

2905 E S Blvd
Suite 53
Montgomery, AL 36116-2501
Phone (334) 288-0009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47418ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services, Inc. CurrentSince Dec 13, 2023 Accepting new patients
Health Services Inc CurrentSince Dec 13, 2023 Accepting new patients
Health Services Inc Current Accepting new patients
Health Services Inc CurrentSince Feb 28, 2024 Accepting new patients

Locations

33 Salem Rd
#2
Montevallo, AL 35115

33 Salem Rd
Ste 2
Montevallo, AL 35115
Phone (205) 665-2002

2611 Woodley Park Dr
Montgomery, AL 36116
Phone (334) 288-0009

Interoperability endpoints

  • Direct secure messaging: eric.walker.1@14429.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1710515499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 4TH AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337111412",
            "telephone_number": "727-251-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SALEM RD STE 2",
            "city": "MONTEVALLO",
            "state": "AL",
            "postal_code": "351153586",
            "telephone_number": "205-851-2010",
            "fax_number": "205-665-1109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-243-2951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ERIC",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "47418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montevallo, AL

Sources for this page

Verify at the official NPI Registry.