Archie Don Walden, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

041381 Issued in GA

Practice address

2700 Hwy 34 East BLDG 300
Newnan, GA 30265

Phone

(770) 304-0987

Fax

(770) 304-0428

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Piedmont Medical Care Corporation

  • Family Medicine Physician
  • Newnan, GA
  • NPI 1033276407
  NPD (past)
• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046

  Family Medicine

  NPD (past)
• Piedmont Providers LLC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1548273592
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1801983614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HWY 34 EAST BLDG 300",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-304-0987",
            "fax_number": "770-304-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HWY 34 EAST BLDG 300",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-304-0987",
            "fax_number": "770-304-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "ARCHIE",
        "middle_name": "DON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "041381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000718902E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt Louis Wahnschaff
• Mary Catherine Waite
• Nicole Elizabeth Waitt, M.ED., BCBA
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0494)
• Wal-Mart Stores East, LP (Vision Center 30-0494)
• Walgreen Co (Walgreens #09890)
• Walgreen Co (Walgreens #17278)
• Walgreen Co (Walgreens #02454)
• Walgreen Co (Rite Aid #11777)
• Ariana Gail Walker, PA

• Family Medicine Physician in Newnan, GA
• Providers in Newnan, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.