TARA T WALKER PA NPI 1730798950

NPI Information

NPI: 1730798950
Provider Name: TARA T WALKER, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
106 HIGHLAND WAY STE 200
MADISON, MS
ZIP 39110
Phone: (601) 200-4141
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Tara T Walker, PA is a medical physician assistant in Madison, MS with 4 years of experience. Tara T Walker, PA NPI is 1730798950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

106 HIGHLAND WAY STE 200
MADISON, MS
ZIP 39110-933
Phone: (601) 200-4141
Fax: (601) 200-4150

The NPI 1730798950 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 7/23/2020 and was last updated on 7/7/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA00514	MISSISSIPPI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06934765	MEDICAID	MISSISSIPPI
2	PA00514	OTHER	MISSISSIPPI	MS LICENSE
3	1K0604	OTHER	MISSISSIPPI	MEDICARE ST DOM

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

NPI Synchronization or Removal

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