MS. RENITA WALLS FNP
NPI 1780381657
Nurse Practitioner - Family in Fayetteville, GA

Active since February 13, 2023PECOS Enrolled
110 BRANDYWINE BLVD, FAYETTEVILLE, GA 30214(404) 384-6531 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2023, Feb 13, 2023 (2 updates tracked since 2023).

About Ms. Renita Walls Fnp NPPES

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

MS. RENITA WALLS FNP (NPI 1780381657) is an individual family provider in Fayetteville, Georgia, licensed in Georgia (RN244023) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780381657
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. RENITA WALLSCredential: FNP
Location Address110 BRANDYWINE BLVDFayetteville, GA 30214-1500
Mailing Address6261 Stonelake Dr SwAtlanta, GA 30331-9488 · (404) 384-6531
Sole ProprietorYes
Enumeration DateFebruary 13, 2023
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
NPI 1780381657 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 GA · RN244023
110 BRANDYWINE BLVD, Fayetteville, GA 30214

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Renita Walls Fnp 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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
712 services124 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
254 services61 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
118 services58 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
82 services66 patients
Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month 99437
Chronic care management services involve regular check-ups, medication management, and health guidance for patients with two or more long-term health conditions. This specific service provides an additional 30 minutes of personal attention from a healthcare professional each month.
70 services38 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
44 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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.

Licensed Practical Nurse
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Physical Therapist
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Physical Therapy Assistant
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Occupational Therapy Assistant
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Physical Therapy Assistant
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Physical Therapist
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Skilled Nursing Facility
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Skilled Nursing Facility
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214

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 Renita Walls's NPI number?

The NPI number for Renita Walls is 1780381657. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Renita Walls located?

Renita Walls practices at 110 Brandywine Blvd, Fayetteville, GA 30214. The listed phone number is (404) 384-6531.

What is Renita Walls's specialty?

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

Is Renita Walls enrolled in Medicare?

Yes. Renita Walls is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Renita Walls was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.