TRACIA A A WALTERS
NPI 1275414823
Custodial Care Facility - Adult Care Home in Rex, GA

Active since September 10, 2025
3327 WAGGONER LN, REX, GA 30273(678) 353-7916 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracia A A Walters NPPES

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

TRACIA A A WALTERS (NPI 1275414823) is an individual adult care home provider in Rex, Georgia, licensed in Georgia (25064627) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1275414823
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameTRACIA A A WALTERS
Location Address3327 WAGGONER LNRex, GA 30273-5220
Mailing Address3327 Waggoner LnRex, GA 30273-5220 · (678) 353-7916
Sole ProprietorYes
Enumeration DateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
NPI 1275414823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in GA · 25064627
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
3327 WAGGONER LN, Rex, GA 30273

Other Providers at the Same Location NPPES

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

Custodial Care Facility (Adult Care Home)
3327 WAGGONER LN
REX, GA 30273

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 Tracia A Walters's NPI number?

The NPI number for Tracia A Walters is 1275414823. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Tracia A Walters located?

Tracia A Walters practices at 3327 Waggoner Ln, Rex, GA 30273. The listed phone number is (678) 353-7916.

What is Tracia A Walters's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Tracia A Walters was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.