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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEITH NESTA WALTERS
NPI 1174264907
Internal Medicine in Fairburn, GA

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
2220 JONESBORO RD STE 101A, FAIRBURN, GA 30213(770) 400-4590 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 12, 2026, Jul 28, 2022, Apr 5, 2022 (3 updates tracked since 2022).

About Keith Nesta Walters NPPES

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

KEITH NESTA WALTERS (NPI 1174264907) is an individual internal medicine provider in Fairburn, Georgia, licensed in Georgia (13706) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Athens, and is a graduate of Meharry Medical College School Of Medicine (2022).

NPPES Registry Identity

NPI1174264907
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEITH NESTA WALTERS
Location Address2220 JONESBORO RD STE 101AFairburn, GA 30213-3544
Mailing Address1230 Baxter StAthens, GA 30606-3712 · (706) 389-3860
Phone(770) 400-4590
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1174264907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 13706
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2220 JONESBORO RD STE 101A, Fairburn, GA 30213
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Secondary Practice Location 1

Location 11500 Oglethorpe Ave Ste 200DAthens, GA 30606-2165 · Phone (706) 389-3875

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

Keith Nesta Walters 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 ID5092196774
PECOS Enrollment IDI20251007000473
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Keith Walters's NPI number?

The NPI number for Keith Walters is 1174264907. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Keith Walters located?

Keith Walters practices at 2220 Jonesboro Rd Ste 101A, Fairburn, GA 30213. The listed phone number is (770) 400-4590.

What is Keith Walters's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Keith Walters enrolled in Medicare?

Yes. Keith Walters 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.

When was this NPI record last updated?

The NPPES record for Keith Walters was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.