Individual provider Active NPI

Griffith Guerry Walters, M.D.

  • Family Medicine Physician
  • Troy, AL
National Provider Identifier
1801829643
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23055 Issued in AL
Practice address
1412 Elba Hwy
Troy, AL 36079-6020
Phone
(334) 566-8822
Fax
(334) 674-0410
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11496 SC
Family Medicine Physician 207Q00000X 23055 AL Primary

Addresses

Primary practice location

1412 Elba Hwy
Troy, AL 36079-6020

Mailing address

1414 Elba Hwy
Troy, AL 36079-6020
Phone (334) 670-6726

Other identifiers 1

IdentifierTypeStateIssuer
145394MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20040430001369 AL Practitioner - Family Practice 3375531213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Alabama Rural Health AssociatesGroup PAC ID 8123009057, 30 clinicians

Practice addresses (Care Compare)

1412 Elba Hwy
Troy, AL 36079-6020
Phone (334) 566-8822

Hospital & facility affiliations

  • Troy Regional Medical Center Home Health Home health agency, Troy, AL, CCN 017096
  • Troy Regional Medical Center Hospital, Troy, AL, CCN 010126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11496SCMDPharmacist
23055ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alabama Rural Health Associates CurrentSince Feb 4, 2013 Accepting new patients
Southeast Alabama Rural Health Associates CurrentSince Feb 4, 2013 Accepting new patients
Southeast Alabama Rural Health Associates Current Accepting new patients
Southeast Alabama Rural Health Associates Past Accepting new patients
Family Medicine Centers of South Carolina Past Accepting new patients
Auburn Urgent Care, Inc Family Medicine Past Accepting new patients

Locations

23 Veterans Blvd
Eufaula, AL 36027
Phone (334) 687-8051

1414 Elba Hwy
Troy, AL 36079
Phone (334) 670-6726

1412 Elba Hwy
Troy, AL 36079
Phone (334) 288-0814

Interoperability endpoints

  • Direct secure messaging: griffith.walters@sarha.eclinicaldirectplus.com

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 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1801829643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-670-6726",
            "fax_number": "334-670-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-566-8822",
            "fax_number": "334-674-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "GRIFFITH",
        "middle_name": "GUERRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "11496",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "23055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145394",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

Verify at the official NPI Registry.