Individual provider Active NPI

Benjamin Walker, NP

  • Nurse Practitioner
  • Douglas, GA
National Provider Identifier
1841270139
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN141132 Issued in GA
Practice address
1101 Ocilla Rd
Douglas, GA 31533-2207
Phone
(912) 383-5623
NPI assigned
Jan 20, 2006
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3343482 FL
Nurse Practitioner 363L00000X RN141132 GA Primary

Addresses

Primary practice location

1101 Ocilla Rd
Douglas, GA 31533-2207

Mailing address

1101 Ocilla Rd
PO Box 1287
Douglas, GA 31533-2207
Phone (912) 383-5623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070319000588 GA Practitioner - Nurse Practitioner 6406846062 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians IncGroup PAC ID 7911811435, 105 clinicians

Practice addresses (Care Compare)

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-7000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC CurrentSince Mar 1, 2014 Accepting new patients
Georgia Em-I Medical Services, LLC Nurse Practitioner CurrentSince Jul 20, 2015 Accepting new patients
Applecare LLC Current Accepting new patients
Houston County Emergency Group, LLC CurrentSince Mar 1, 2014 Accepting new patients
Emergency Physicians Inc CurrentSince Dec 20, 2016 Accepting new patients
Tift Regional Health System Inc CurrentSince Sep 1, 2016 Accepting new patients
Georgia Em-I Medical Services. LLC Nurse Practitioner Current Accepting new patients
Clinch County Hospital Authority CurrentSince Nov 7, 2009 Accepting new patients
Parrott Medical Clinic PC CurrentSince Feb 3, 2012 Accepting new patients
Tift Regional Health System Inc. CurrentSince Sep 1, 2016 Accepting new patients
Perry Emergency Physicians LLC Past Accepting new patients
Old Fields Emergency Physicians, LLC Past Accepting new patients
Southland-Nashville Emergency Services, LLC. Past Accepting new patients
BCH Medical Investors, LLC Past Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

1111 Glynco Pkwy
Ste 10
Brunswick, GA 31525
Phone (912) 264-9111

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100

1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

804 Northwood Park Dr
Valdosta, GA 31602
Phone (229) 249-7888

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

410 Darling Ave
Waycross, GA 31501
Phone (912) 283-3030

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1841270139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 OCILLA RD",
            "address_2": "PO BOX 1287",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332207",
            "telephone_number": "912-383-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332207",
            "telephone_number": "912-383-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BENJAMIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3343482",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN141132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.