KEITH NESTA WALTERS
NPI 1174264907
Internal Medicine in Fairburn, GA
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Keith Walters reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 565 clinicians in this Medicare group
Atlanta, GA 30307
- Reassigned Medicare billing, Georgia enrollment
- 427 clinicians in this Medicare group
Mcdonough, GA 30253
- Reassigned Medicare billing, Georgia enrollment
- 25 clinicians in this Medicare group
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 50 clinicians in this Medicare group
Flowery Branch, GA 30542
- Reassigned Medicare billing, Georgia enrollment
- 24 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.
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.
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.
Which organizations bill Medicare for Keith Walters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Walters reassigns Medicare benefits to 5 organizations: Piedmont Professional Services, LLC (Stockbridge, GA), Piedmont Medical Care Corporation (Atlanta, GA), Medlife Urgent Care LLC (Mcdonough, GA), Gwinnett Clinic, Ltd (Atlanta, GA) and Medlife Healthcare LLC (Flowery Branch, GA). Each 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 Keith Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Walters accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Keith Walters 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 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 2 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.
# Keith Nesta Walters · NPI 1174264907
Internal Medicine physician in Fairburn, Georgia. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1174264907 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 13706 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2220 JONESBORO RD STE 101A, Fairburn, GA 30213-3544
- **Phone:** (770) 400-4590
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Piedmont Professional Services, LLC (NPI 1104088905, Stockbridge, GA); Piedmont Medical Care Corporation (NPI 1912956046, Atlanta, GA); Medlife Urgent Care LLC (NPI 1083249114, Mcdonough, GA); Gwinnett Clinic, Ltd (NPI 1952676496, Atlanta, GA); Medlife Healthcare LLC (NPI 1558974709, Flowery Branch, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Meharry Medical College School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** August 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174264907) · Data from the CMS NPPES public registry.