Individual provider Active NPI

Shelby Walker, APRN

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1861091340
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
291442 Issued in GA
Practice address
3020 Jeffersonville Rd
Macon, GA 31217-5118
Phone
(229) 463-7081
NPI assigned
Oct 26, 2020
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 291442 GA Primary
Registered Nurse 163W00000X RN291442 GA

Addresses

Primary practice location

3020 Jeffersonville Rd
Macon, GA 31217-5118

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Other practice location 1

200 S Kimberly Rd
Warner Robins, GA 31088-8721
Phone (229) 463-7081

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
I20220914001557 GA Practitioner - Nurse Practitioner 6406231265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

37 Hwy 341 Bypass
Hawkinsville, GA 31036
Phone (870) 856-1202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN291442GAMDRegistered Nurse
291442GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Georgia LLC CurrentSince Sep 1, 2022 Accepting new patients
Access Medical Clinic Georgia LLC CurrentSince Sep 1, 2022 Accepting new patients
Access Medical Clinic Georgia LLC Current Accepting new patients

Locations

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

3311 Lee St
Brunswick, GA 31520
Phone (912) 264-1857

37 341 Byp
Hawkinsville, GA 31036
Phone (478) 845-4842

500 Stanley St
Perry, GA 31069
Phone (229) 463-7071

Interoperability endpoints

  • Direct secure messaging: shelby.walker.1@22235.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1861091340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 JEFFERSONVILLE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312175118",
            "telephone_number": "229-463-7081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Kimberly Rd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310888721",
            "country_code": "US",
            "telephone_number": "229-463-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SHELBY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "291442",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN291442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.