Active NPI
Samantha Walker
- Prosthetics Case Management
- Waycross, GA
National Provider Identifier
1881145894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 2111 Mayfair PL
Waycross, GA 31501-7551 - Phone
- (912) 284-1694
- NPI assigned
- Oct 14, 2016
- Last updated
- Oct 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | GA | Primary |
Addresses
Primary practice location
2111 Mayfair PL
Waycross, GA 31501-7551
Mailing address
2111 Mayfair PL
Waycross, GA 31501-7551
Phone (912) 284-1694
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1881145894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 MAYFAIR PL",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315017551",
"telephone_number": "912-284-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 MAYFAIR PL",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315017551",
"telephone_number": "912-284-1694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-14",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waycross, GA
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0556)
- Wal-Mart Stores East LP (WalMart Pharmacy 10-4527)
- Walgreen Co (Rite Aid #11849)
- Walgreen Co (Walgreens #09277)
- Walgreen Co (Rite Aid #1974)
- Tina Fawn Walker, FNP
- Caitlyn Deanna Walsh, FNP-BC
- Anthony Joseph Walters, CLINICAL SOCIAL WORK
- David J Walters, M.D.
- Ware County Board of Commissioners (Ware County EMS)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.