Jewel Y Walton

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN066612 Issued in GA

Practice address

315 Winn Way
Decatur, GA 30030-2111

Phone

(678) 772-7377

Fax

(404) 299-0382

NPI assigned

Dec 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1912617770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302111",
            "telephone_number": "678-772-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302111",
            "telephone_number": "678-772-7377",
            "fax_number": "404-299-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "JEWEL",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN066612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING",
            "identifier": "LPN066612",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "j.walton@atlantagynob.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "AGO",
            "address_1": "315 Winn Way",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300302111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bethani Tyler Walsh, DPT
• Helen Berg Walsh, P.T.
• Walter a Grage DDS PC
• Haley N Walters, PA
• Chauncey M Walton, FNP-BC
• Phillip Gene Walton
• Relisha Nicole Walton
• Michelle Wan, MD
• Duanran Wang, MS
• Susan Annemarie Wang, M.D., M.P.H.

• Licensed Practical Nurse in Decatur, GA
• Providers in Decatur, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.