Megan W Walpole, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

308663 Issued in LA

Practice address

6325 Shannon Pkwy
Suite D
Union City, GA 30291-1538

Phone

(770) 964-1400

Fax

(770) 306-1343

NPI assigned

Feb 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WK Family Medicine RustonGroup PAC ID 0840656674, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• Northern Louisiana Medical Center Hospital, Ruston, LA, CCN 190086

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• WK Family Medicine Ruston

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1295435337
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CLHG-Ruston LLC

  • General Acute Care Hospital
  • Ruston, LA
  • NPI 1962024026
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1841439387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CREEKSIDE DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712701766",
            "telephone_number": "404-680-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 SHANNON PKWY",
            "address_2": "SUITE D",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911538",
            "telephone_number": "770-964-1400",
            "fax_number": "770-306-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALPOLE",
        "first_name": "MEGAN",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "308663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visions Care Adult Day Health Center, Inc
• Vphealthcareservices
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Donnetta Shante Washington, LCSW
• Nardia Nichola Watson, MSN, FNP
• We Care Developmental Milestones
• Nicole Wheeler
• Dena Renee White, OTR/L

• Medical Physician Assistant in Union City, GA
• Providers in Union City, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.