WALKA FAMILY PRACTICE LLC
NPI 1760262190
Nurse Practitioner - Family in La Fayette, GA
Active since October 03, 2023
102 W LAFAYETTE SQ STE 209, LA FAYETTE, GA 30728(706) 670-9818(706) 236-7700 Get Directions Write a Review
About Walka Family Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALKA FAMILY PRACTICE LLC (NPI 1760262190) is a healthcare organization registered as a family in La Fayette, Georgia and active in the NPI registry since October 2023. The organization lists Amy Walka, Ceo, as its authorized official.
NPPES Registry Identity
NPI1760262190
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWALKA FAMILY PRACTICE LLC
Location Address102 W LAFAYETTE SQ STE 209La Fayette, GA 30728-3520
Mailing Address102 W Lafayette Sq Ste 209La Fayette, GA 30728-3520 · (706) 670-9818 · Fax (706) 236-7700
Phone(706) 670-9818
Fax(706) 236-7700
Organization SubpartNo
Authorized OfficialAmy WalkaCeo · (706) 670-9818
Enumeration DateOctober 3, 2023
Last NPPES UpdateApril 18, 20252 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
✔ NPI 1760262190 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
102 W LAFAYETTE SQ STE 209, La Fayette, GA 30728
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
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760262190, enumerated as an "organization" on October 03, 2023.
The provider is located at 102 W LAFAYETTE SQ STE 209 LA FAYETTE, GA 30728 and the phone number is (706) 670-9818.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.