Individual provider Active NPI

Latoya Renee Walker, M.D.

  • Obstetrics & Gynecology Physician
  • Laurel, MS
National Provider Identifier
1770880445
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21517 Issued in MS
Practice address
117 S 11TH Ave
Laurel, MS 39440-4312
Phone
(601) 425-3033
Fax
(601) 422-0431
NPI assigned
Feb 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MD.205193 LA
Obstetrics & Gynecology Physician 207V00000X 21517 MS Primary

Addresses

Primary practice location

117 S 11TH Ave
Laurel, MS 39440-4312

Mailing address

273 Briarwood Dr
Gretna, LA 70056-7827
Phone (504) 236-2889

Other identifiers 1

IdentifierTypeStateIssuer
01831306MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110831000158 MS Practitioner - Obstetrics/Gynecology 8224208236 Reassigns benefits to 4 organizations
I20170712001451 LA Practitioner - Obstetrics/Gynecology 8224208236 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Mississippi PCGroup PAC ID 7416120407, 29 clinicians

Practice addresses (Care Compare)

1225 N State St
Jackson, MS 39202-2064
Phone (800) 967-2289

Hospital & facility affiliations

  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vicksburg Healthcare LLC CurrentSince May 1, 2021 Accepting new patients
Signify Health, LLC CurrentSince Apr 1, 2021 Accepting new patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince May 15, 2023 Accepting new patients
Women First, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Haven Pregnancy Wellness & Women'S Health, LLC Obstetrics & Gynecology CurrentSince Jan 22, 2024 Accepting new patients
Vicksburg Healthcare LLC CurrentSince May 1, 2021 Accepting new patients
Obhg Louisiana, LLC Obstetrics & Gynecology CurrentSince Jun 3, 2017 Accepting new patients
DHP of Louisiana PC Obstetrics & Gynecology CurrentSince May 16, 2023 Accepting new patients
Natchez Regional Clinic Obstetrics & Gynecology Past Accepting new patients
Mississippi Baptist Medical Center, Inc. Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

2309 Old Jeanerette Rd
New Iberia, LA 70563
Phone (337) 256-5317

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

302 Highland Park Cv
Ste B
Ridgeland, MS 39157
Phone (601) 255-8258

104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

10 Centimeters Dr
Mauldin, SC 29662
Phone (800) 867-2289

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: lwalker582008@direct.bmhcc.org

Organizations & group practices 10

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 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": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1770880445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 BRIARWOOD DR",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567827",
            "telephone_number": "504-236-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S 11TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404312",
            "telephone_number": "601-425-3033",
            "fax_number": "601-422-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LATOYA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "LA",
            "license": "MD.205193",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "21517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01831306",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.