SIL-MIRACLE WALKER M.ED., LPC, NCC
NPI 1114539491
Counselor - Professional in Augusta, GA

Active since August 19, 2020PECOS Enrolled
1265 INTERSTATE PKWY # B, AUGUSTA, GA 30909(706) 204-1366 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, Aug 19, 2020 (2 updates tracked since 2020).

About Sil-miracle Walker M.ed., Lpc, Ncc NPPES

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

SIL-MIRACLE WALKER M.ED., LPC, NCC (NPI 1114539491) is an individual professional provider in Augusta, Georgia, licensed in Georgia (LPC014832) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114539491
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSIL-MIRACLE WALKERCredential: M.ED., LPC, NCC
Location Address1265 INTERSTATE PKWY # BAugusta, GA 30909-6481
Mailing Address3424 Peachtree Rd Ne Ste 2200Atlanta, GA 30326-1156
Sole ProprietorYes
Enumeration DateAugust 19, 2020
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1114539491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC014832
1265 INTERSTATE PKWY # B, Augusta, GA 30909

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sil-miracle Walker M.ed., Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sil-miracle Walker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
1265 INTERSTATE PKWY STE B
Augusta, GA 30909
  • Reassigned Medicare billing, Georgia enrollment
  • 36 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
1265 INTERSTATE PKWY # B
AUGUSTA, GA 30909

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 Sil-miracle Walker's NPI number?

The NPI number for Sil-miracle Walker is 1114539491. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Sil-miracle Walker located?

Sil-miracle Walker practices at 1265 Interstate Pkwy # B, Augusta, GA 30909. The listed phone number is (706) 204-1366.

What is Sil-miracle Walker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sil-miracle Walker enrolled in Medicare?

Yes. Sil-miracle Walker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sil-miracle Walker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sil-miracle Walker reassigns Medicare benefits to Inpatient Psychology Solutions LLC (Augusta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sil-miracle Walker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sil-miracle Walker accept?

Health plans from Oscar Health and UnitedHealthcare list Sil-miracle Walker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sil-miracle Walker was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.