Kenyatta D Walker (NPI# 1770907727, PAC ID# 2769606789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1770907727 |
| PAC ID by PECOS | 2769606789 |
| Professional Enrollment ID | I20140613001154 |
| Full Name | Kenyatta D Walker |
| Organization Legal Name | MCINTOSH TRAIL COMMUNITY SERVICE BOARD |
| Address |
700 Hwy 314 S Banesville GA 30204 |
| Phone Number | 7703585252 |
| Gender | F |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6204818669 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 700 Hwy 314 S, Banesville, GA 30204 | 7703585252 | MCINTOSH TRAIL COMMUNITY SERVICE BOARD |
| 1459 Williamson Rd, Griffin, GA 30224-8428 | 7703588250 | MCINTOSH TRAIL COMMUNITY SERVICE BOARD |
| Organization Legal Name | MCINTOSH TRAIL COMMUNITY SERVICE BOARD |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ogochukwu Ojiaku | Nurse Practitioner | Mcintosh Trail Community Service Board | 1435 N Expressway, Suite 301, Griffin, GA 30223-9014 |
| Jamie A Smith | Nurse Practitioner | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Fiameta Vargas | Psychiatry | Mcintosh Trail Community Service Board | 139 Henry Pkwy, Mcdonough, GA 30253-6636 |
| Timothy S Fischer | Clinical Social Worker | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Kingsley E Iyamu | Psychiatry | Mcintosh Trail Community Service Board | 1435 N Expressway, Suite 301, Griffin, GA 30223-9014 |
| Monica S Smith | Psychiatry | Mcintosh Trail Community Service Board | 1435 N Expressway, Suite 301, Griffin, GA 30223-9014 |
| Melanie C Fisher | Certified Clinical Nurse Specialist (cns) | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Shauna Johnson | Nurse Practitioner | Mcintosh Trail Community Service Board | 1435 N Expressway, Suite 301, Griffin, GA 30223-9014 |
| Gloria Chine | Nurse Practitioner | Mcintosh Trail Community Service Board | 1435 N Expressway, Suite 301, Griffin, GA 30223-9014 |
| Ana M Cuebas | Psychiatry | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Street Address |
700 HWY 314 S |
| City | BANESVILLE |
| State | GA |
| Zip | 30204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie A Smith | Nurse Practitioner | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Timothy S Fischer | Clinical Social Worker | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Melanie C Fisher | Certified Clinical Nurse Specialist (cns) | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Ana M Cuebas | Psychiatry | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Denise Hanak Atkins | Nurse Practitioner | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Sangeetha Venkataramanan | Psychiatry | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Charlene S Pugh | Nurse Practitioner | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Carol A Lyle | Psychiatry | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Deborah M Quinton | Clinical Social Worker | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Dherby Georges-ramdeen | Nurse Practitioner | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Benton | Clinical Social Worker | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Lorae Phelan | Nurse Practitioner | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Candice Nipp | Nurse Practitioner | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
| Cherinor Sillah | Family Practice | Orthopedics Sports Medicine and Surgery LLC | 100 Hwy 18 W, Barnesville, GA 30204-1198 |
| Kenneth M Deen | Ophthalmology | 211 Main St, Barnesville, GA 30204-1469 | |
| Byron F Deen | Ophthalmology | Middle Georgia Oculoplastics | 211 Main St, Barnesville, GA 30204-1469 |
| Thomas Aaron Buice | Family Medicine | 522 Greenwood St, Suite A, Barnesville, GA 30204-1554 | |
| Norman L Lastinger | Optometry | 641 Veterans Pkwy, Barnesville, GA 30204-1555 | |
| Lee T Woodall | Family Medicine | Drs. Woodall, Wilson and Manley, LLP | 101 Houston St, Barnesville, GA 30204-1660 |
| April Leighanne Beck | Nurse Practitioner | Drs. Woodall, Wilson and Manley, LLP | 101 Houston St, Barnesville, GA 30204-1660 |
| Find all physicians in zip 30204 | |||
| City | BANESVILLE |
| Zip Code | 30204 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BANESVILLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Kenyatta D Walker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.