Clayton Robert Walker (NPI# 1922569565, PAC ID# 8527391374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1922569565 |
| PAC ID by PECOS | 8527391374 |
| Professional Enrollment ID | I20190610001774 |
| Full Name | Clayton Robert Walker |
| Organization Legal Name | DELTA CLINICS PLC |
| Address |
17 Centre Plaza Dr Jackson TN 38305-2862 |
| Phone Number | 7315120104 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193022994 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440072 | DYERSBURG REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 7315120104 | DELTA CLINICS PLC |
| 9486 Hwy 412 W, Lexington, TN 38351-5713 | 7319680984 | DELTA CLINICS PLC |
| Organization Legal Name | DELTA CLINICS PLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gurpreet S Maur | Cardiovascular Disease (cardiology) | Delta Clinics Plc | 9486 Hwy 412 W, Lexington, TN 38351-5713 |
| Simon Okewole | Cardiac Electrophysiology | Delta Clinics Plc | 350 E Parkview St, Dyersburg, TN 38024-3110 |
| Holly B Bunch | Nurse Practitioner | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Heather M Mckee | Internal Medicine | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Naji Bourji | Cardiovascular Disease (cardiology) | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Penni C Cannady | Nurse Practitioner | Delta Clinics Plc | 350 E Parkview St, Dyersburg, TN 38024-3110 |
| Shanna L Wilkes | Nurse Practitioner | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Ethel B Spivey | Nurse Practitioner | Delta Clinics Plc | 350 E Parkview St, Dyersburg, TN 38024-3110 |
| Dum Piawa | Cardiovascular Disease (cardiology) | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Elliot Emile Kurban | Cardiovascular Disease (cardiology) | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Street Address |
17 CENTRE PLAZA DR |
| City | JACKSON |
| State | TN |
| Zip | 38305-2862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly B Bunch | Nurse Practitioner | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Heather M Mckee | Internal Medicine | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Naji Bourji | Cardiovascular Disease (cardiology) | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Shanna L Wilkes | Nurse Practitioner | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Dum Piawa | Cardiovascular Disease (cardiology) | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Elliot Emile Kurban | Cardiovascular Disease (cardiology) | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Pickering | Psychologist, Clinical | 367 B N Pkwy, Suite 1, Jackson, TN 38305 | |
| Tammy M Griffis | Nurse Practitioner | Primary Care Clinic of Jackson | 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 |
| Kathy M O'connor-wray | Nurse Practitioner | Primary Care Clinic of Jackson | 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 |
| Rebecca Ann Hamilton | Nurse Practitioner | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Elizabeth S Londino | Family Medicine | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Marion J Scott | Nurse Practitioner | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Timothy W Hayden | Family Medicine | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Diane H Wright | Clinical Social Worker | Starting Place LLC | 180 W University Pkwy H, Jackson, TN 38305-1612 |
| Richard Murphy Spring | Psychologist, Clinical | 156 W University Pkwy, Suite B, Jackson, TN 38305-1617 | |
| Steven Anthony Sopcak | Chiropractic | 156 W University Pkwy, Suite A, Jackson, TN 38305-1617 | |
| Find all physicians in zip 38305 | |||
| City | JACKSON |
| Zip Code | 38305 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSON + PHYSICIAN ASSISTANT |
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| 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.