WALTON FAMILY CARE CLINIC, LLC
NPI 1710437074
Nurse Practitioner - Family in New Albany, MS

Active since October 11, 2016
228 STARLYN AVE, NEW ALBANY, MS 38652(662) 539-7383(662) 539-7661 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2017, Nov 1, 2016, Oct 11, 2016 (3 updates tracked since 2016).

  • Organization
  • Nurse Practitioner
  • Family

About WALTON FAMILY CARE CLINIC, LLC

This page provides the complete NPI Profile along with additional information for Walton Family Care Clinic, Llc, a provider established in New Albany, Mississippi operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1710437074 assigned on October 2016. The practitioner's primary taxonomy code is 363LF0000X with license number R871879 (MS). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Tyrongilia Q Walton Dnp (Owner)

NPI
1710437074 Verify this NPI
Provider Name
WALTON FAMILY CARE CLINIC, LLC
Entity Type
Organization
Location Address
228 STARLYN AVE NEW ALBANY, MS 38652
Location Phone
(662) 539-7383
Location Fax
(662) 539-7661
Mailing Address
PO BOX 611 NEW ALBANY, MS 38652
Mailing Phone
(662) 539-7383
Mailing Fax
(662) 539-7661
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2016
Last Update Date
02-07-2017
Code Navigator

A nurse practitioner (NP) like Walton Family Care Clinic, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R871879
License State
MS

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TYRONGILIA Q WALTON DNP

Authorized Official Title
OWNER
Authorized Official Phone
(662) 539-7383

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
272046ZWX3OTHER (01)MSMEDICARE NUMBER
07630093MEDICAID (05)MS 

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
228 STARLYN AVE
NEW ALBANY, MS 38652
Clinic/Center (Urgent Care)
228 STARLYN AVE
NEW ALBANY, MS 38652

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710437074, enumerated as an "organization" on October 11, 2016.

The provider is located at 228 STARLYN AVE NEW ALBANY, MS 38652 and the phone number is (662) 539-7383.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.