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DEJA WALLS PA-C
NPI 1376432401
Physician Assistant in Memphis, TN

Active since July 02, 2025PECOS EnrolledAccepts Medicare Assignment
2569 DOUGLASS AVE, MEMPHIS, TN 38114(901) 842-3164 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deja Walls Pa-c NPPES

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

DEJA WALLS PA-C (NPI 1376432401) is an individual physician assistant in Memphis, Tennessee, licensed in (1231052) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2024).

NPPES Registry Identity

NPI1376432401
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEJA WALLSCredential: PA-C
Location Address2569 DOUGLASS AVEMemphis, TN 38114-2532
Mailing Address8860 Prestancia Cv SMemphis, TN 38125-1734 · (901) 461-7045
Phone(901) 842-3164
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2024
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1376432401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · 1231052
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2569 DOUGLASS AVE, Memphis, TN 38114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Deja Walls Pa-c 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 ID4385150143
PECOS Enrollment IDI20250719000427
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38114 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 11

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

JOSEPH PATRICK MD
Family Medicine
2569 DOUGLASS AVE
MEMPHIS, TN 38114
Shelby County (901) 271-6200
DANIEL RAY PIKE MD
Family Medicine
2569 DOUGLASS AVE
MEMPHIS, TN 38114
Shelby County (901) 701-2550
DR. ZECHARY CRAIG SMITH M.D.
Family Medicine
2569 DOUGLASS AVE
MEMPHIS, TN 38114
Shelby County (901) 701-2550
CHRIST COMMUNITY HEALTH SERVICES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2569 DOUGLASS AVE, CHRIST COMMUNITY HEALTH SERVICES, INC
MEMPHIS, TN 38114
Shelby County (901) 271-6200
ERNEST WITHERSPOON
Pharmacist
2569 DOUGLASS AVE
MEMPHIS, TN 38114
Shelby County (901) 271-6279
MRS. BRITNEY RICHARDSON THOMAS NURSE PRACTITIONER
Nurse Practitioner
2569 DOUGLASS AVE
MEMPHIS, TN 38114
Shelby County (901) 842-3164
MS. ALICE HANNIFIN NP-C
Nurse Practitioner (Family)
2569 DOUGLASS AVE
MEMPHIS, TN 38114
Shelby County (901) 701-2550
CHRIST COMMUNITY HEALTH SERVICES INC
Pharmacy (Community/Retail Pharmacy)
2569 DOUGLASS AVE
MEMPHIS, TN 38114
Shelby County (901) 271-6275

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 Deja Walls's NPI number?

The NPI number for Deja Walls is 1376432401. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Deja Walls located?

Deja Walls practices at 2569 Douglass Ave, Memphis, TN 38114. The listed phone number is (901) 842-3164.

What is Deja Walls's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Deja Walls enrolled in Medicare?

Yes. Deja 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.

What insurance does Deja Walls accept?

Health plans from UnitedHealthcare list Deja Walls 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.

When was this NPI record last updated?

The NPPES record for Deja Walls was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.