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PROF. ERICA LYNN WALTON NP
NPI 1255903597
Nurse Practitioner - Gerontology in Loganville, GA

Active since July 15, 2021PECOS EnrolledAccepts Medicare Assignment
3543 HIGHWAY 81 # 201, LOGANVILLE, GA 30052(678) 615-2382(770) 674-0250 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2026, Jul 15, 2021 (2 updates tracked since 2021).

About Prof. Erica Lynn Walton Np NPPES

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

PROF. ERICA LYNN WALTON NP (NPI 1255903597) is an individual gerontology provider in Loganville, Georgia, licensed in Georgia (NP250356) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255903597
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NamePROF. ERICA LYNN WALTONCredential: NP
Location Address3543 HIGHWAY 81 # 201Loganville, GA 30052-4336
Mailing Address1514 Sheridan Rd Ne Apt 2416Atlanta, GA 30324-5470 · (478) 250-4048
Phone(678) 615-2382
Fax(770) 674-0250
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 15, 2021
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1255903597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in GA · NP250356
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN250356 (GA)
3543 HIGHWAY 81 # 201, Loganville, GA 30052
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Prof. Erica Lynn Walton Np 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 ID9537600200
PECOS Enrollment IDI20240920002758
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 Reassignments

4

Medicare enrollment records show Erica Walton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northside Cv Professional Services LLC
13 mi
Cardiovascular Disease
755 WALTHER RD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 43 clinicians in this Medicare group
NPI 1821612938 (770) 962-0399
The Emory Clinic Inc
26 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Northside Cardiovascular Professional Services, LLC
31 mi
Cardiovascular Disease
1285 UPPER HEMBREE RD
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 175 clinicians in this Medicare group
NPI 1518979921 (855) 709-4535
Privia Medical Group Of Georgia LLC
43 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285

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

Areas of Expertise CMS Part B claims 3

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
50 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30052 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 5

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

MELINDA GAIL WHITTON CAC 1
Counselor (Addiction (Substance Use Disorder))
3543 HIGHWAY 81 # 201
LOGANVILLE, GA 30052
Gwinnett County (678) 615-2382
ESME LEIGH SMARTE
Counselor
3543 HIGHWAY 81 # 201
LOGANVILLE, GA 30052
Gwinnett County (678) 737-4147
KIMBERLI CARTER
Counselor (Addiction (Substance Use Disorder))
3543 HIGHWAY 81 # 201
LOGANVILLE, GA 30052
Gwinnett County (770) 580-1988
MRS. PRISCILLA MARY THOMAS DNP, FNP
Nurse Practitioner (Primary Care)
3543 HIGHWAY 81 # 201
LOGANVILLE, GA 30052
Gwinnett County (678) 737-4147
MR. JOHN D WALKER CAC II
Counselor (Addiction (Substance Use Disorder))
3543 HIGHWAY 81 # 201
LOGANVILLE, GA 30052
Gwinnett County (770) 580-1988

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 Erica Walton's NPI number?

The NPI number for Erica Walton is 1255903597. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Erica Walton located?

Erica Walton practices at 3543 Highway 81 # 201, Loganville, GA 30052. The listed phone number is (678) 615-2382.

What is Erica Walton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Erica Walton enrolled in Medicare?

Yes. Erica Walton 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 Erica Walton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Walton reassigns Medicare benefits to 4 organizations: Northside Cv Professional Services LLC (Lawrenceville, GA), The Emory Clinic Inc (Atlanta, GA), Northside Cardiovascular Professional Services, LLC (Roswell, GA) and Privia Medical Group Of Georgia LLC (Fayetteville, 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 Erica Walton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Walton accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Erica Walton 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.

Is Erica Walton affiliated with any hospitals?

According to CMS data, Erica Walton is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Erica Walton was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.