JOHN A WALSH MD PA
NPI 1275589152
Specialist in Palm Coast, FL

Active since May 25, 2006
14 OFFICE PARK DR STE 7, PALM COAST, FL 32137(386) 302-5064(386) 302-5093 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John A Walsh Md Pa NPPES

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

JOHN A WALSH MD PA (NPI 1275589152) is a healthcare organization registered as a specialist in Palm Coast, Florida and active in the NPI registry since May 2006. The organization maintains a secondary practice location in Palatka and lists John Alan Walsh, President, as its authorized official.

NPPES Registry Identity

NPI1275589152
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJOHN A WALSH MD PA
Location Address14 OFFICE PARK DR STE 7Palm Coast, FL 32137-3830
Mailing AddressPo Box 17021Belfast, ME 04915-4065 · (386) 302-5064 · Fax (386) 302-5093
Fax(386) 302-5093
Organization SubpartNo
Authorized OfficialJohn Alan WalshPresident · (386) 328-0245
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
✔ NPI 1275589152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME78805
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
14 OFFICE PARK DR STE 7, Palm Coast, FL 32137

Secondary Practice Location 1

Location 1530 Zeagler Dr, Suite APalatka, FL 32177-6855 · Phone (386) 328-0245 · Fax (386) 328-8510

Other Identifiers 2

OtherQ0466FL · Medicare
Medicaid110996800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John A Walsh Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to John A Walsh MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thoracic Surgery
NPI 1932271541
14 OFFICE PARK DR STE 7
Palm Coast, FL 32137
(386) 302-5064
✔ PECOS✔ Accepts MedicareSame address

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

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 John A Walsh MD PA's NPI number?

The NPI number for John A Walsh MD PA is 1275589152. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is John A Walsh MD PA located?

John A Walsh MD PA is located at 14 Office Park Dr Ste 7, Palm Coast, FL 32137. The listed phone number is (386) 302-5064.

What is John A Walsh MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John A Walsh MD PA enrolled in Medicare?

Yes. John A Walsh MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through John A Walsh MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Thoracic Surgery) reassigns their Medicare billing to John A Walsh MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for John A Walsh MD PA was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.