Individual provider Active NPI

Dana S. Walker, M. D.

  • Family Medicine Physician
  • Kitty Hawk, NC
National Provider Identifier
1891871141
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31088 Issued in NC
Practice address
5200 N Croatan Hwy
Kitty Hawk, NC 27949-3990
Phone
(252) 261-4187
Fax
(252) 261-5182
NPI assigned
Oct 30, 2006
Last updated
Mar 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31088 NC Primary

Addresses

Primary practice location

5200 N Croatan Hwy
Kitty Hawk, NC 27949-3990

Mailing address

5200 N Croatan Hwy
Kitty Hawk, NC 27949-3990
Phone (252) 261-4187

Other identifiers 1

IdentifierTypeStateIssuer
8985231MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222001040 NC Practitioner - Family Practice 2062600612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Apr 26, 2012 Accepting new patients
Vidant Medical Group LLC CurrentSince Apr 26, 2012 Accepting new patients
Beach Medical Care, LTD. Family Medicine Current Accepting new patients
Outer Banks Professional Services, LLC Family Medicine CurrentSince Oct 4, 2015 Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5200 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 261-4187

4917 S Croatan Hwy
Ste 1B
Nags Head, NC 27959
Phone (252) 255-0583

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

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.

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": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1891871141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493990",
            "telephone_number": "252-261-4187",
            "fax_number": "252-261-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493990",
            "telephone_number": "252-261-4187",
            "fax_number": "252-261-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DANA",
        "middle_name": "S.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-30",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "31088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985231",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kitty Hawk, NC

Sources for this page

Verify at the official NPI Registry.