Active NPI
Walka Family Practice LLC
- Family Nurse Practitioner
- La Fayette, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WALKA FAMILY PRACTICE LLC
- Practice address
- 102 W Lafayette SQ Ste 209
La Fayette, GA 30728-3520 - Phone
- (706) 670-9818
- Fax
- (706) 236-7700
- NPI assigned
- Oct 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Walka, FNP
- Title
- Ceo
- Phone
- (706) 670-9818
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
102 W Lafayette SQ Ste 209
La Fayette, GA 30728-3520
Mailing address
102 W Lafayette SQ Ste 209
La Fayette, GA 30728-3520
Phone (706) 670-9818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
102 W Lafayette Sq
Ste 209
La Fayette, GA 30728
Phone (706) 670-9818
102 W Lafayette Sq
Ste 207
La Fayette, GA 30728
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Rome, GA
- NPI 1669161931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744934400000",
"number": "1760262190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 W LAFAYETTE SQ STE 209",
"city": "LA FAYETTE",
"state": "GA",
"postal_code": "307283520",
"telephone_number": "706-670-9818",
"fax_number": "706-236-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W LAFAYETTE SQ STE 209",
"city": "LA FAYETTE",
"state": "GA",
"postal_code": "307283520",
"telephone_number": "706-670-9818",
"fax_number": "706-236-7700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALKA FAMILY PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-03",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A",
"authorized_official_last_name": "WALKA",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "706-670-9818",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Fayette, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.