Provider Type Icon

DR. JEFFREY GLEN WALLS M.D. NPI 1114987807


NPI Information

NPI: 1114987807
Provider Name: DR. JEFFREY GLEN WALLS, M.D.
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
1918 RANDOLPH RD STE 580
CHARLOTTE, NC
ZIP 28207
Phone: (704) 384-9900
Get Directions

DR. Jeffrey Glen Walls, M.D. is a critical care medicine internal medicine in Charlotte, NC with 31 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Jeffrey Glen Walls, M.D. NPI is 1114987807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

1918 RANDOLPH RD STE 580
CHARLOTTE, NC
ZIP 28207-116
Phone: (704) 384-9900
Fax: (704) 384-9919

The NPI 1114987807 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 2 views (HCPCS:71046)
  • Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 3/25/2006 and was last updated on 2/20/2023.


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
1207R00000XInternal Medicine200300423NORTH CAROLINANo
2207RP1001XInternal MedicinePulmonary Disease200300423NORTH CAROLINANo
3207RC0200XInternal MedicineCritical Care Medicine200300423NORTH CAROLINAYes

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
1N0042BMEDICAIDSOUTH CAROLINA
289134K9MEDICAIDNORTH CAROLINA

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: 4/28/2024

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.