Active NPI
Jennifer Walker
- Advanced Practice Midwife
- Covington, GA
National Provider Identifier
1871207431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN257996
- Practice address
- 4181 Hospital Dr NE Ste 104
Covington, GA 30014-2541 - Phone
- (770) 385-8954
- Fax
- (770) 385-8590
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN257996 | GA | |
| Advanced Practice Midwife | 367A00000X | RN257996 | GA | Primary |
Addresses
Primary practice location
4181 Hospital Dr NE Ste 104
Covington, GA 30014-2541
Mailing address
4181 Hospital Dr NE Ste 104
Covington, GA 30014-2541
Phone (770) 385-8954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00284912B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN257996 | GA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1871207431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4181 HOSPITAL DR NE STE 104",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142541",
"telephone_number": "770-385-8954",
"fax_number": "770-385-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4181 HOSPITAL DR NE STE 104",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142541",
"telephone_number": "770-385-8954",
"fax_number": "770-385-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-09-08",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN257996",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN257996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00284912B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.