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MRS. DEMETRIA S WALLS LMSW
NPI 1902477920
Social Worker in Jackson, MS

Active since July 09, 2021PECOS Enrolled
5345 HIGHWAY 18 W, JACKSON, MS 39209(601) 927-0188(601) 292-7998 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 8, 2023, Jul 9, 2021 (2 updates tracked since 2021).

About Mrs. Demetria S Walls Lmsw NPPES

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

MRS. DEMETRIA S WALLS LMSW (NPI 1902477920) is an individual social worker in Jackson, Mississippi, licensed in Mississippi (M8329) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1902477920
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. DEMETRIA S WALLSCredential: LMSW
Location Address5345 HIGHWAY 18 WJackson, MS 39209-9421
Mailing AddressPo Box 2305Clinton, MS 39060-2305 · (601) 927-0188
Phone(601) 927-0188
Fax(601) 292-7998
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 9, 2021
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1902477920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MS · M8329
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
5345 HIGHWAY 18 W, Jackson, MS 39209
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Other Identifiers 1

Medicaid1003469743MS

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Demetria S Walls Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587134283
PECOS Enrollment IDI20260522001763
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.

Medicare Billing Reassignment

Medicare enrollment records show Demetria Walls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urban Rehab, Inc
3.7 mi
Mental Health (Including Community Mental Health Center)
901 HIGHWAY 80 E
Clinton, MS 39056
  • Reassigned Medicare billing, Mississippi enrollment
  • 6 clinicians in this Medicare group
NPI 1003469743 (601) 927-0188

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

ANN ATKINSON
Psychologist (Group Psychotherapy)
5345 HIGHWAY 18 W
JACKSON, MS 39209
Hinds County (601) 927-0188
MS. SHEKENNA RAE WILLIAMS
Peer Specialist
5345 HIGHWAY 18 W
JACKSON, MS 39209
Hinds County (601) 927-0188
MS. FREDIA JENKINS
Psychologist (Group Psychotherapy)
5345 HIGHWAY 18 W
JACKSON, MS 39209
Hinds County (601) 927-0188
LASONYA GOODEN
Psychologist (Group Psychotherapy)
5345 HIGHWAY 18 W
JACKSON, MS 39209
Hinds County (601) 927-0188
JOHN HIGGINS BS
Peer Specialist
5345 HIGHWAY 18 W
JACKSON, MS 39209
Hinds County (601) 927-0188
PHILIP MASSEY
Social Worker (Clinical)
5345 HIGHWAY 18 W
JACKSON, MS 39209
Hinds County (601) 927-0188
TYLER SUTTON
Peer Specialist
5345 HIGHWAY 18 W
JACKSON, MS 39209
Hinds County (601) 927-0188
ROBIN HAMPTON
Rehabilitation Counselor
5345 HIGHWAY 18 W
JACKSON, MS 39209
Hinds County (601) 927-0188

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 Demetria Walls's NPI number?

The NPI number for Demetria Walls is 1902477920. It was assigned to this individual provider in the NPPES registry on July 9, 2021.

Where is Demetria Walls located?

Demetria Walls practices at 5345 Highway 18 W, Jackson, MS 39209. The listed phone number is (601) 927-0188.

What is Demetria Walls's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Demetria Walls enrolled in Medicare?

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

Which organization bills Medicare for Demetria Walls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Demetria Walls reassigns Medicare benefits to Urban Rehab, Inc (Clinton, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Demetria Walls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Demetria Walls was last updated on May 8, 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.