Individual provider Active NPI

Thomas Juergen Walker, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1922250489
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
70789 Issued in GA
Practice address
5670 Peachtree Dunwoody Rd Ste 1280
Atlanta, GA 30342-4792
Phone
(404) 257-1589
Fax
(404) 257-7409
NPI assigned
Oct 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 70789 GA Primary

Addresses

Primary practice location

5670 Peachtree Dunwoody Rd Ste 1280
Atlanta, GA 30342-4792

Mailing address

5670 Peachtree Dunwoody Rd Ste 1280
Atlanta, GA 30342-4792
Phone (404) 257-1589

Other practice location 1

5730 Glenridge Dr Ste T200
Atlanta, GA 30328-5873
Phone (404) 256-5428

Other names 1

  • Thomas Walker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20140310001276 GA Practitioner - Otolaryngology 2062662380 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Institute for ENT PCGroup PAC ID 8224073572, 6 clinicians
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

5670 Peachtree Dunwoody Rd
Suite 1280
Atlanta, GA 30342-4792
Phone (404) 257-1589

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Aug 1, 2020 Accepting new patients
Atlanta ENT Sinus & Allergy Associates PC CurrentSince Apr 1, 2014 Accepting new patients
Aesthetic Solutions Center LLC CurrentSince Aug 1, 2020 Accepting new patients
Atlanta Institute for ENT PC CurrentSince Jul 1, 2020 Accepting new patients

Locations

5670 Peachtree Dunwoody Rd
Ste 1280
Sandy Springs, GA 30342
Phone (404) 257-1589

5555 Peachtree Dunwoody Rd
Ste 125
Sandy Springs, GA 30342
Phone (404) 255-1918

5730 Glenridge Dr
Ste T200
Sandy Springs, GA 30328
Phone (404) 256-5428

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

5555 Ptree Dunwoody Rd NE
Ste 235
Sandy Springs, GA 30342
Phone (404) 255-2918

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1922250489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424792",
            "telephone_number": "404-257-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424792",
            "telephone_number": "404-257-1589",
            "fax_number": "404-257-7409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5730 Glenridge Dr Ste T200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285873",
            "country_code": "US",
            "telephone_number": "404-256-5428",
            "fax_number": "404-250-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "THOMAS",
        "middle_name": "JUERGEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "GA",
            "license": "70789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "WALKER",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.