Individual provider Active NPI

Mia Yvette Walker, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1871516815
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007147 Issued in GA
Practice address
241 Peachtree St NE
Suite B
Atlanta, GA 30303-1424
Phone
(470) 222-5101
Fax
(678) 609-5438
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007147 GA Primary

Addresses

Primary practice location

241 Peachtree St NE
Suite B
Atlanta, GA 30303-1424

Mailing address

PO Box 50112
400 Pryor Street
Atlanta, GA 30302
Phone (470) 222-5101

Other identifiers 3

IdentifierTypeStateIssuer
DD2924OtherGARAILROAD
P00031819OtherGARAILROAD MEDICARE
00961804AMedicaidGA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Street Chiropractic LLC Chiropractor CurrentSince Oct 29, 2012 Accepting new patients
Athens Chiropractic & Therapy Chiropractor Past Accepting new patients
Arrowhead Clinic, Inc. Chiropractor Past Accepting new patients

Locations

217 Mitchell St SW
Atlanta, GA 30303
Phone (648) 927-9166

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1871516815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50112",
            "address_2": "400 PRYOR STREET",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30302",
            "telephone_number": "470-222-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 PEACHTREE ST NE",
            "address_2": "SUITE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031424",
            "telephone_number": "470-222-5101",
            "fax_number": "678-609-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MIA",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DD2924",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00031819",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00961804A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.