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GEORGE DEXTER WALCOTT MD NPI 1376520742


NPI Information

NPI: 1376520742
Provider Name: GEORGE DEXTER WALCOTT, MD
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Individual

Specialization: Sports Medicine

Organization: ALABAMA ORTHOPAEDIC SPECIALISTS PA

PECOS Registration: Yes

Address:
4294 LOMAC ST
MONTGOMERY, AL
ZIP 36106
Phone: (334) 274-9000
Get Directions

George Dexter Walcott, MD is a sports medicine orthopaedic surgery in Montgomery, AL with 30 years of experience. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. George Dexter Walcott, MD NPI is 1376520742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

4294 LOMAC ST
MONTGOMERY, AL
ZIP 36106-604
Phone: (334) 274-9000
Fax: (334) 274-0857

The NPI 1376520742 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 3/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery23247ALABAMANo
2207XX0005XOrthopaedic SurgerySports Medicine23247ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11819711OTHERFIRST HEALTH
251058987OTHERBLUE CROSS
3200039740OTHERRR MEDICARE
4H431MEDICARE PIN
5051509952MEDICARE PIN
6009998830MEDICAIDALABAMA
7000058987MEDICAIDALABAMA
8000094906MEDICAIDALABAMA
9H430MEDICARE PIN
10D564MEDICARE PIN
11H429MEDICARE PIN
12J030MEDICARE PIN
1351094906OTHERBLUE CROSS
14G96312MEDICARE UPIN
15000094906MEDICARE PIN
1613383OTHERNCC/TYNET
1751509952OTHERBLUE CROSS
187344060OTHERAETNA
19910527OTHERUNITED HEALTHCARE
20I048MEDICARE PIN
21000058987MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.