Scot A Wall, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

14675 Issued in GA

Practice address

2304 Rosemont CT
Albany, GA 31721-9110

Phone

(229) 888-5023

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Scot a. Wall, MD, PC

  • Ophthalmology Physician
  • Albany, GA
  • NPI 1922007525
  NPD (past) Authorized official

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1760487276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 ROSEMONT CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219110",
            "telephone_number": "229-888-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 ROSEMONT CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219110",
            "telephone_number": "229-888-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "SCOT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "14675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00136529A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Tyrone Walker, LPC, M.S., M.ED.
• Paige Julieanna Walker
• Teresa L Walker, LCSW
• Wall Therapy & Consulting, LLC
• Melissa Hope Felts Wall
• Dustin A Walsh, PA
• Robin Walsh, PSYD
• Walter L. Erhardt, Jr., MD, PC
• Gregory Walter, MD
• Cynthia Marie Walters, RN

• Ophthalmology Physician in Albany, GA
• Providers in Albany, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.