Breanna Blakley Walker (NPI# 1619532868, PAC ID# 8022442292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1619532868 |
| PAC ID by PECOS | 8022442292 |
| Professional Enrollment ID | I20191220001134 |
| Full Name | Breanna Blakley Walker |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
650 Julian Rd Salisbury NC 28147-9078 |
| Phone Number | 7046373373 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 200 Hawthorne Ln, Charlotte, NC 28204-2515 | NOVANT MEDICAL GROUP INC | |
| 650 Julian Rd, Salisbury, NC 28147-9078 | 7046373373 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
650 JULIAN RD |
| City | SALISBURY |
| State | NC |
| Zip | 28147-9078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin T Ott | Family Medicine | Novant Medical Group Inc | 650 Julian Rd, Salisbury, NC 28147-9078 |
| Treshell Greene | Physician Assistant | Novant Medical Group Inc | 650 Julian Rd, Salisbury, NC 28147-9078 |
| Tamara B Lilkas | Physician Assistant | Novant Medical Group Inc | 650 Julian Rd, Salisbury, NC 28147-9078 |
| Jennifer H Alderman | Physician Assistant | Novant Medical Group Inc | 650 Julian Rd, Salisbury, NC 28147-9078 |
| Bethany J South | Family Medicine | Novant Medical Group Inc | 650 Julian Rd, Salisbury, NC 28147-9078 |
| Hannah Dawson | Physician Assistant | Novant Medical Group Inc | 650 Julian Rd, Salisbury, NC 28147-9078 |
| Emily Frances Patterson | Physician Assistant | Novant Medical Group Inc | 650 Julian Rd, Salisbury, NC 28147-9078 |
| Sharon M Brown | Family Medicine | Novant Medical Group Inc | 650 Julian Rd, Salisbury, NC 28147-9078 |
| Jason R Connelly | Family Medicine | Novant Medical Group Inc | 650 Julian Rd, Salisbury, NC 28147-9078 |
| Kim Myers | Family Medicine | Novant Medical Group Inc | 650 Julian Rd, Salisbury, NC 28147-9078 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Hennie | Optometry | 1910 W Jake Alexander Blvd, Suite 101, Salisbury, NC 28147-1163 | |
| Samantha Call | Physician Assistant | Novant Medical Group Inc | 1910 Jake Alexander Blvd W, Salisbury, NC 28147-1165 |
| Michelle D Henrickson | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 1910 Jake Alexander Blvd W, Salisbury, NC 28147-1165 |
| Tammy Fesperman Redmond | Clinical Social Worker | Novant Medical Group Inc | 1910 Jake Alexander Blvd W, Suite 201, Salisbury, NC 28147-1165 |
| Jenna Lee Cameron | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 1904 Jake Alexander W Blvd, Suite 301, Salisbury, NC 28147-1177 |
| Paveena Posang | Family Medicine | Novant Medical Group Inc | 1904 Jake Alexander Blvd W, Suite 303, Salisbury, NC 28147-1177 |
| Timothy L Dagenhart | Family Medicine | Carolina Medicorp Enterprises, Inc. | 1904 Jake Alexander W Blvd, Suite 301, Salisbury, NC 28147-1177 |
| Meredith Rae Julian | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 1904 Jake Alexander W Blvd, Suite 301, Salisbury, NC 28147-1177 |
| Susan M Egbe | Family Medicine | Carolina Medicorp Enterprises, Inc. | 1904 Jake Alexander W Blvd, Suite 301, Salisbury, NC 28147-1177 |
| Earl Myers | Emergency Medicine | Carolina Medicorp Enterprises, Inc. | 1904 Jake Alexander W Blvd, Suite 301, Salisbury, NC 28147-1177 |
| Find all physicians in zip 28147 | |||
| City | SALISBURY |
| Zip Code | 28147 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SALISBURY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Breanna Blakley 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.