NPIMap

Individual provider Active NPI

Erica Dillon Walker, M.D.

  • Internal Medicine Physician
  • Jackson, MS
National Provider Identifier
1801094438
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22200 Issued in MS
Practice address
1500 E Woodrow Wilson Ave
Medical Services
Jackson, MS 39216-5116
Phone
(601) 362-4471
Fax
(601) 364-1327
NPI assigned
Jul 5, 2007
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22200 MS Primary

Addresses

Primary practice location

1500 E Woodrow Wilson Ave
Medical Services
Jackson, MS 39216-5116

Mailing address

1500 E Woodrow Wilson Ave
Medical Services
Jackson, MS 39216-5116
Phone (601) 362-4471

Other names 1

  • Dr. Erica Renee Dillon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20161111001433 MS Practitioner - Internal MedicinePractitioner - Infectious Disease 4587895099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Meharry Medical College School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physician Group LLCGroup PAC ID 6204199086, 26 clinicians

Practice addresses (Care Compare)

1520 Highland Colony Pkwy
Madison, MS 39110-7723
Phone (769) 289-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22200MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physician Group, LLC Internal Medicine CurrentSince Jan 25, 2026 Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. CurrentSince Jul 16, 2016 Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. CurrentSince Jul 16, 2016 Accepting new patients
Ms Methodist Hospital & Rehabilitation Center Past Accepting new patients

Locations

1350 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 364-5340

1520 Highland Colony Pkwy
Madison, MS 39110
Phone (601) 421-6189

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1801094438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E WOODROW WILSON AVE",
            "address_2": "MEDICAL SERVICES",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165116",
            "telephone_number": "601-362-4471",
            "fax_number": "601-364-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E WOODROW WILSON AVE",
            "address_2": "MEDICAL SERVICES",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165116",
            "telephone_number": "601-362-4471",
            "fax_number": "601-364-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ERICA",
        "middle_name": "DILLON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "22200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "DILLON",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.