NPIMap

Individual provider Active NPI

Walter Daniel Zant Jr., MD

  • Family Medicine Physician
  • Madison, GA
National Provider Identifier
1760471585
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
050292 Issued in GA
Practice address
1820 Bethany Rd
Madison, GA 30650-4701
Phone
(706) 342-1555
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 050292 GA Primary

Addresses

Primary practice location

1820 Bethany Rd
Madison, GA 30650-4701

Mailing address

1820 Bethany Rd
Madison, GA 30650-4701
Phone (706) 342-1555

Other identifiers 1

IdentifierTypeStateIssuer
000128612MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000934 GA Practitioner - Family Practice 9133308497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1820 Bethany Rd
Madison, GA 30650-4701
Phone (706) 342-1555

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
W. Daniel Zant,Jr MD PC CurrentSince Jun 27, 2018 Accepting new patients
Morgan County Georgia Hospital Authority Current Accepting new patients
Pamela Hall, MD PC Family Medicine Current Accepting new patients
Zant Extended Care, Inc. Family Medicine CurrentSince Jan 27, 2022 Accepting new patients
Pine Leaf Investment Inc. Past Accepting new patients

Locations

2002 S Main St
Madison, GA 30650
Phone (706) 342-1555

1820 Bethany Rd
Madison, GA 30650
Phone (703) 342-1555

1077 S Main St
Madison, GA 30650
Phone (706) 342-0449

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIBJAA/Endpoint/GIBJAA
  • FHIR API: https://api.platform.athenahealth.com/15011/brand/1/csg/1/fhir/r4
  • Direct secure messaging: walterzant@mmc.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIBJAA
  • Direct secure messaging: walter.zant@wdzjm.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Madison Health and RehabMadison, GA, CCN 115457 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 15, 2015
Jul 15, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 11

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1760471585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 BETHANY RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504701",
            "telephone_number": "706-342-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 BETHANY RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504701",
            "telephone_number": "706-342-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANT",
        "first_name": "WALTER",
        "middle_name": "DANIEL",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "050292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000128612",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, GA

Sources for this page

Verify at the official NPI Registry.