DEONTAY WALKER
NPI 1063182384
Anesthesiologist Assistant in Reidsville, GA

Active since September 17, 2021Accepts Medicare Assignment
247 S MAIN ST, REIDSVILLE, GA 30453(516) 945-3000(704) 248-5537 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Sep 17, 2021 (2 updates tracked since 2021).

About Deontay Walker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEONTAY WALKER (NPI 1063182384) is an individual anesthesiologist assistant in Reidsville, Georgia, licensed in Georgia (12599) and active in the NPI registry since September 2021. He is affiliated with Musc Health Florence Medical Center, maintains a secondary practice location in Cincinnati, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063182384
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameDEONTAY WALKER
Location Address247 S MAIN STReidsville, GA 30453-4605
Mailing AddressPo Box 945375Atlanta, GA 30394-5375 · (516) 945-3000 · Fax (704) 248-5537
Fax(704) 248-5537
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 17, 2021
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1063182384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Licenses Licensed in GA · 12599 Licensed in OH · 67.000424
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
247 S MAIN ST, Reidsville, GA 30453

Secondary Practice Location 1

Location 12139 Auburn AveCincinnati, OH 45219-2906 · Phone (513) 585-2000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Deontay Walker is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911305800
PECOS Enrollment IDI20250214003116, I20251231000835

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for x-ray on artery of brain, heart, or chest 01926
Anesthesia is given before an x-ray of the brain, heart, or chest artery to ensure comfort and stillness. It helps to eliminate discomfort or pain during the procedure. It's administered by a trained professional, ensuring a safe and smooth procedure.
17 services17 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiologist Assistant
247 S MAIN ST
REIDSVILLE, GA 30453
Nurse Anesthetist, Certified Registered
247 S MAIN ST
REIDSVILLE, GA 30453
Nurse Anesthetist, Certified Registered
247 S MAIN ST
REIDSVILLE, GA 30453
Occupational Therapist
247 S MAIN ST
REIDSVILLE, GA 30453
Registered Nurse (Registered Nurse First Assistant)
247 S MAIN ST
REIDSVILLE, GA 30453
Nurse Anesthetist, Certified Registered
247 S MAIN ST
REIDSVILLE, GA 30453
Anesthesiologist Assistant
247 S MAIN ST
REIDSVILLE, GA 30453
Specialist/Technologist (Athletic Trainer)
247 S MAIN ST
REIDSVILLE, GA 30453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deontay Walker's NPI number?

The NPI number for Deontay Walker is 1063182384. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Deontay Walker located?

Deontay Walker practices at 247 S Main St, Reidsville, GA 30453. The listed phone number is (516) 945-3000.

What is Deontay Walker's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Deontay Walker enrolled in Medicare?

Yes. Deontay Walker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Deontay Walker affiliated with any hospitals?

According to CMS data, Deontay Walker is affiliated with Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for Deontay Walker was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.