DR. JERRY DON WALKUP JR. M.D.
NPI 1578856985
Pediatrics - Pediatric Cardiology in Johnson City, TN

Q: What is Jerry Walkup's NPI number?

The NPI number for Jerry Walkup is 1578856985. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Q: What is Jerry Walkup's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Walkup was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 17, 2011PECOS Enrolled

2312 KNOB CREEK RD STE 208, JOHNSON CITY, TN 37604(423) 610-1099(423) 246-4300 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2024, Jul 21, 2022, Jul 19, 2017 and 1 more (4 updates tracked since 2016).

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About Dr. Jerry Don Walkup Jr. M.d. NPPES

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

DR. JERRY DON WALKUP JR. M.D. (NPI 1578856985) is an individual pediatric cardiology provider in Johnson City, Tennessee, licensed in Virginia (0101256238) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578856985

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDR. JERRY DON WALKUP JR.Credential: M.D.

Location Address2312 KNOB CREEK RD STE 208Johnson City, TN 37604-2367

Mailing Address2312 Knob Creek Rd Ste 208Johnson City, TN 37604-2367 · (423) 610-1099

Phone(423) 610-1099

Fax(423) 246-4300

Sole ProprietorYes

Enumeration DateMay 17, 2011

Last NPPES UpdateJuly 17, 20244 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1578856985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in VA · 0101256238

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

2312 KNOB CREEK RD STE 208, Johnson City, TN 37604

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Secondary Practice Locations 2

Location 1935 Wilcox Ct Ste 150Kingsport, TN 37660-5183 · Phone (423) 610-1099 · Fax (423) 246-4300

Location 21490 Park Ave NW # 4B-2Norton, VA 24273-1631 · Phone (423) 610-1099 · Fax (423) 246-4300

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Don Walkup Jr. M.d. 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.

Other Providers at the Same Location NPPES 2

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

MRS. LACY HICKS CPNP

Pediatrics (Pediatric Cardiology)

2312 KNOB CREEK RD STE 208
JOHNSON CITY, TN 37604

Washington County (423) 610-1099

BROOKE NICOLE PENNINGS NP

Nurse Practitioner (Primary Care)

2312 KNOB CREEK RD STE 208
JOHNSON CITY, TN 37604

Washington County (423) 610-1099

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 Jerry Walkup's NPI number?

The NPI number for Jerry Walkup is 1578856985. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Where is Jerry Walkup located?

Jerry Walkup practices at 2312 Knob Creek Rd Ste 208, Johnson City, TN 37604. The listed phone number is (423) 610-1099.

What is Jerry Walkup's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Jerry Walkup enrolled in Medicare?

Yes. Jerry Walkup is registered in the Medicare PECOS enrollment system.

What insurance does Jerry Walkup accept?

Health plans from BlueCross BlueShield of Tennessee list Jerry Walkup 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 Jerry Walkup was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.