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ABDUL ABEL WALTERS DO
NPI 1356960686
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since April 16, 2020PECOS Enrolled
1120 15TH ST # BB4515, AUGUSTA, GA 30912(215) 248-8200 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Abdul Abel Walters Do NPPES

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

ABDUL ABEL WALTERS DO (NPI 1356960686) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356960686
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameABDUL ABEL WALTERSCredential: DO
Location Address1120 15TH ST # BB4515Augusta, GA 30912-0006
Mailing Address1120 15th St # Bb-4515Augusta, GA 30912-0006 · (706) 721-7702 · Fax (706) 721-3239
Phone(215) 248-8200
Sole ProprietorYes
Enumeration DateApril 16, 2020
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1356960686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1120 15TH ST # BB4515, Augusta, GA 30912
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abdul Abel Walters Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Abdul Walters's NPI number?

The NPI number for Abdul Walters is 1356960686. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Abdul Walters located?

Abdul Walters practices at 1120 15th St # Bb4515, Augusta, GA 30912. The listed phone number is (215) 248-8200.

What is Abdul Walters's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Abdul Walters enrolled in Medicare?

Yes. Abdul Walters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abdul Walters was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.