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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: August 23, 2026.

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

About Walton Family Care Clinic, Llc NPPES

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

WALTON FAMILY CARE CLINIC, LLC (NPI 1710437074) is a healthcare organization registered as a family in New Albany, Mississippi and active in the NPI registry since October 2016. The organization lists Tyrongilia Q Walton, Owner, as its authorized official.

NPPES Registry Identity

NPI1710437074
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWALTON FAMILY CARE CLINIC, LLC
Location Address228 STARLYN AVENew Albany, MS 38652-2428
Mailing AddressPo Box 611New Albany, MS 38652-0611 · (662) 539-7383 · Fax (662) 539-7661
Phone(662) 539-7383
Fax(662) 539-7661
Organization SubpartNo
Authorized OfficialTyrongilia Q WaltonOwner · (662) 539-7383
Enumeration DateOctober 11, 2016
Last NPPES UpdateFebruary 7, 20173 updates tracked since enumeration
✔ NPI 1710437074 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 MS · R871879
228 STARLYN AVE, New Albany, MS 38652
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Other Identifiers 2

Other272046ZWX3MS · Medicare Number
Medicaid07630093MS

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

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.

HOMETOWN EXPRESS CARE, P.C.
Clinic/Center (Urgent Care)
228 STARLYN AVE
NEW ALBANY, MS 38652
Union County (662) 534-1888
MARILYN SMITH NURSE PRACTITIONER
Nurse Practitioner
228 STARLYN AVE
NEW ALBANY, MS 38652
Union County (662) 539-7383

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 Walton Family Care Clinic, LLC's NPI number?

The NPI number for Walton Family Care Clinic, LLC is 1710437074. It was assigned to this organization in the NPPES registry on October 11, 2016.

Where is Walton Family Care Clinic, LLC located?

Walton Family Care Clinic, LLC is located at 228 Starlyn Ave, New Albany, MS 38652. The listed phone number is (662) 539-7383.

What is Walton Family Care Clinic, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Walton Family Care Clinic, LLC was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.