DR. PAUL ANDREW WALTERS III (NPI# 1477546190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477546190 |
| Entity Type | Individual |
| Full Name | DR. PAUL ANDREW WALTERS III |
| Credential | PH.D. |
| Practice Address |
3643 Walton Way Ext Augusta GA 30909-4507 |
| Mailing Address |
3333 Walton Way Augusta GA 30909-4529 |
| Practice Telephone | 7067299595 |
| Practice Fax Number | 7067290332 |
| Mailing Telephone | 7067299595 |
| Mailing Fax Number | 7067290332 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2011-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002120 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000819816A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720315286 | Paul David Walters | Dentist | 502 East Rutherford St, Landrum, SC 29356 | 2009-11-04 |
| 1457532020 | Paul J Walters | Pharmacist | 3201 Southwestern Blvd, Orchard Park, NY 14127 | 2007-11-23 |
| 1184727505 | Paul J Walters | Dentist | 4420 Conlin St, Suite 203, Metairie, CA 70006 | 2006-09-07 |
| 1720198583 | Paul Ragan Walters | Psychologist | 4131 Spicewood Springs Rd, Suite E-3, Austin, TX 78759-8661 | 2006-08-30 |
| Street Address |
3643 WALTON WAY EXT |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952879553 | Delma Jimenez | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2018-11-13 |
| 1457834897 | Vanesha Brown | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2018-09-12 |
| 1699281568 | Peggy Arlene Harmon | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-12-14 |
| 1235644139 | Jessica Wiley | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-12-13 |
| 1154845634 | Tatianna S Jones | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-07-27 |
| 1386176642 | Adebayo Onabule | Counselor | 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507 | 2017-03-28 |
| 1407387665 | Raven Littlejohn | Counselor | 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507 | 2017-03-21 |
| 1649701780 | Jasmine Patterson | Counselor | 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507 | 2017-03-21 |
| 1295274389 | Alberto Benitez | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-02-22 |
| 1083153167 | Halle Sipple | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1932635885 | Samantha L. Whatson | Psychologist | 3633 Wheeler Rd Ste 110, Augusta, GA 30909-6544 | 2017-05-11 |
| 1942743679 | Medoptions of Maine, LLC | Psychologist | 45 Memorial Cir, Augusta, ME 04330-6400 | 2016-11-29 |
| 1942652656 | Nancy Slobodnik | Psychologist | 1 Va Ctr # 28, Augusta, ME 04330-6719 | 2016-07-06 |
| 1710315171 | Holly Tabernik | Psychologist | 3405 Mike Padgett Hwy Bldg 10, Augusta, GA 30906-3815 | 2013-10-23 |
| 1225383078 | Sarah Bruce Stevens | Psychologist | 44 Thornberry Drive, Augusta, GA 30909-1922 | 2012-07-18 |
| 1326277831 | Katharine Elliott Mocciola | Psychologist | 1 Va Ctr # 116b, Augusta, ME 04330-6719 | 2009-07-06 |
| 1467635441 | Dana P. Reaume | Psychologist | 74 Bristlecone Ln, Augusta, GA 30909-1847 | 2007-12-12 |
| 1548460124 | Sarah Faith Shelton | Psychologist | 1829 Wrightsboro Rd, Augusta, GA 30904-2010 | 2007-07-20 |
| 1679623086 | M. Kevin Turner | Psychologist | 103 Rossmore Pl, Augusta, GA 30909-5769 | 2007-01-11 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.