Individual provider Active NPI

Breanna Jameson Walters, MD

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1922668300
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
149657 Issued in FL
Practice address
1491 Governors Square Blvd
Tallahassee, FL 32301-3049
Phone
(850) 383-3311
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 149657 FL Primary

Addresses

Primary practice location

1491 Governors Square Blvd
Tallahassee, FL 32301-3049

Mailing address

2140 Centerville Rd
Tallahassee, FL 32308-4314
Phone (850) 383-3311

Other names 1

  • Breanna Danielle Jameson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address breanna.waltersmd.p1@direct.capitalhealthplan.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211022000893 FL Practitioner - Family Practice 6901131564 Reassigns benefits to 1 organization
I20220823002964 GA Practitioner - Family Practice 6901131564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Capital Health Plan, Inc,Group PAC ID 6406744077, 42 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

2140 Centerville Rd
Tallahassee, FL 32308-4314
Phone (850) 383-3333

951 S Broad St
Thomasville, GA 31792-6161
Phone (229) 228-4130

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149657FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Capital Health Plan, Inc, CurrentSince Jan 5, 2026 Accepting new patients

Locations

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

2140 Centerville Rd
Tallahassee, FL 32308
Phone (850) 383-3300

1491 Governors Square Blvd
Tallahassee, FL 32301
Phone (850) 383-3300

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

951 S Broad St
Thomasville, GA 31792
Phone (229) 228-4130

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: breanna.waltersmd.p1@direct.capitalhealthplan.nextgenshare.com
  • Direct secure messaging: breanna.walters.1@8042.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1922668300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 CENTERVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084314",
            "telephone_number": "850-383-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 GOVERNORS SQUARE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013049",
            "telephone_number": "850-383-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "BREANNA",
        "middle_name": "JAMESON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "149657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "breanna.waltersmd.p1@direct.capitalhealthplan.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1491 Governors Square Blvd",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323013049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "JAMESON",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.