Individual provider Active NPI

Regina E Walker, NP

  • Nurse Practitioner
  • Clayton, GA
National Provider Identifier
1861440596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
091762 Issued in GA
Practice address
269 Ridgecrest Circle Suite 109
Clayton, GA 30525
Phone
(706) 782-7040
Fax
(706) 782-3123
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 091762 GA Primary

Addresses

Primary practice location

269 Ridgecrest Circle Suite 109
Clayton, GA 30525

Mailing address

269 Ridgecrest Cir
Clayton, GA 30525-4109
Phone (706) 782-7090

Other identifiers 1

IdentifierTypeStateIssuer
000903031MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250811001271 SC Practitioner - Nurse Practitioner 4486549029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed Urgent Care LLCGroup PAC ID 1759819261, 13 clinicians

Practice addresses (Care Compare)

801 N Fant St
Anderson, SC 29621-5707
Phone (864) 642-3777

Hospital & facility affiliations

  • Anmed Health Hospital, Anderson, SC, CCN 420027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
091762GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Urgent Care LLC CurrentSince Jul 22, 2025 Accepting new patients
Toccoa Clinic Medical Associates Past Accepting new patients
Reddy Urgent Care - Royston LLC Past Accepting new patients

Locations

801 N Fant St
Anderson, SC 29621
Phone (864) 261-8000

885 Tiger Blvd
Bldg A
Clemson, SC 29631
Phone (864) 642-3767

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861440596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 RIDGECREST CIR",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254109",
            "telephone_number": "706-782-7090",
            "fax_number": "706-782-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 RIDGECREST CIRCLE SUITE 109",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "30525",
            "telephone_number": "706-782-7040",
            "fax_number": "706-782-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "REGINA",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "091762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000903031",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, GA

Sources for this page

Verify at the official NPI Registry.