Active NPI
Perry James Walton, D.O.
- Emergency Medicine Physician
- Pascagoula, MS
National Provider Identifier
1831210608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 22667
- Practice address
- 2809 Denny Ave
Pascagoula, MS 39581 - Phone
- (228) 809-5000
- Fax
- (228) 809-5000
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 22667 | MS | Primary |
Addresses
Primary practice location
2809 Denny Ave
Pascagoula, MS 39581
Mailing address
PO Box 746368
Atlanta, GA 30374-6368
Phone (855) 691-9890
Other practice location 1
222 W Ray Ave
High Point, NC 27262-3914
Phone (336) 878-6000 ext. 2484
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 466877061B | Medicaid | GA | |
| 09683095 | Medicaid | MS | |
| GA1067 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240223003012 | MS | Order and Referring Only - Emergency Medicine | 5991857369 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5307 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| Regional Emergency Physicians PA | Emergency Medicine | Past | Accepting new patients |
| Csra Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
Interoperability endpoints
- pwalton@landmarkhealth-direct.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Emergency Medicine Physician
- Augusta, GA
- NPI 1750524849
-
- Emergency Medicine Physician
- High Point, NC
- NPI 1154426294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1831210608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746368",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746368",
"telephone_number": "855-691-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 DENNY AVE",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "39581",
"telephone_number": "228-809-5000",
"fax_number": "228-809-5000"
}
],
"practiceLocations": [
{
"address_1": "222 W Ray Ave",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "272623914",
"country_code": "US",
"telephone_number": "336-878-6000 x2484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTON",
"first_name": "PERRY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "22667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466877061B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09683095",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GA1067",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.