MR. ROSCOE CARL WALLS JR. FNP-BC
NPI 1376231597
Nurse Practitioner - Family in Baxley, GA

Active since April 26, 2023PECOS EnrolledAccepts Medicare Assignment
118 AZALEA RD, ST 1, BAXLEY, GA 31513(912) 785-2676 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, Sep 8, 2024 (2 updates tracked since 2024).

About Mr. Roscoe Carl Walls Jr. Fnp-bc NPPES

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

MR. ROSCOE CARL WALLS JR. FNP-BC (NPI 1376231597) is an individual family provider in Baxley, Georgia, licensed in Georgia (RN253514) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Appling Healthcare, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376231597
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ROSCOE CARL WALLS JR.Credential: FNP-BC
Location Address118 AZALEA RD, ST 1Baxley, GA 31513-7598
Mailing Address625 Deerfield DrBaxley, GA 31513-7598 · (912) 309-2233
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 26, 2023
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1376231597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN253514
118 AZALEA RD, Baxley, GA 31513

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Roscoe Carl Walls Jr. Fnp-bc 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 ID7214394576
PECOS Enrollment IDI20230601002298
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.

Areas of Expertise CMS Part B claims 13

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
507 services52 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
96 services23 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
86 services40 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
77 services44 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.
45 services45 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
44 services41 patients

Hospital Affiliations CMS Care Compare

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

Appling Healthcare

Acute Care Hospitals · Baxley, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110071
Location163 E Tollison StreetBaxley, GA 31513 · Appling County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31513 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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

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

Clinic/Center (Urgent Care)
118 AZALEA RD, ST 1
BAXLEY, GA 31513

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 Roscoe Walls's NPI number?

The NPI number for Roscoe Walls is 1376231597. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Roscoe Walls located?

Roscoe Walls practices at 118 Azalea Rd St 1, Baxley, GA 31513. The listed phone number is (912) 785-2676.

What is Roscoe Walls's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Roscoe Walls enrolled in Medicare?

Yes. Roscoe Walls 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.

Is Roscoe Walls affiliated with any hospitals?

According to CMS data, Roscoe Walls is affiliated with Appling Healthcare.

When was this NPI record last updated?

The NPPES record for Roscoe Walls was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.