Active NPI
William L Walls, BOCO, CPED, CO,OPA-C
- Specialist
- Warner Robins, GA
National Provider Identifier
1750449971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 000009
- Practice address
- 110 Osigian Blvd
Warner Robins, GA 31088-7880 - Phone
- (478) 953-2922
- Fax
- (478) 953-2927
- NPI assigned
- Dec 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 000009 | GA | Primary |
Addresses
Primary practice location
110 Osigian Blvd
Warner Robins, GA 31088-7880
Mailing address
403 Commerce St W
Pineview, GA 31071-3145
Phone (229) 624-2723
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1895 | Other | GA | CERTIFIED PEDORTHIST |
| 681 | Other | GA | ORTHOPEDIC PHYS ASSISTANT |
| C15148 | Other | GA | BOC CERTIFIED ORTHOTIST |
| CO3593 | Other | GA | ABC CERTIFIED ORTHOTIST |
| 714 | Other | GA | PARAMEDIC |
| 000009 | Other | GA | STATE LICENSED ORTHOTIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000009 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750449971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 COMMERCE ST W",
"city": "PINEVIEW",
"state": "GA",
"postal_code": "310713145",
"telephone_number": "229-624-2723",
"fax_number": "478-953-2927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 OSIGIAN BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310887880",
"telephone_number": "478-953-2922",
"fax_number": "478-953-2927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "WILLIAM",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "BOCO, CPED, CO,OPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "000009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED PEDORTHIST",
"identifier": "1895",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHOPEDIC PHYS ASSISTANT",
"identifier": "681",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC CERTIFIED ORTHOTIST",
"identifier": "C15148",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABC CERTIFIED ORTHOTIST",
"identifier": "CO3593",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMEDIC",
"identifier": "714",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSED ORTHOTIST",
"identifier": "000009",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.