WALTERS SURGICAL ASSOC PA
NPI 1942265301
Specialist in Whiteville, NC

Active since April 19, 2006CLIA 34D0246078 · Waiver
220 JEFFERSON ST, WHITEVILLE, NC 28472(910) 642-3214(910) 642-2085 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Walters Surgical Assoc Pa NPPES

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

WALTERS SURGICAL ASSOC PA (NPI 1942265301) is a healthcare organization registered as a specialist in Whiteville, North Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Shirrel Rhodes, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1942265301
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWALTERS SURGICAL ASSOC PA
Location Address220 JEFFERSON STWhiteville, NC 28472-3416
Mailing Address220 Jefferson StWhiteville, NC 28472-3416 · (910) 642-3214 · Fax (910) 642-2085
Fax(910) 642-2085
Organization SubpartNo
Authorized OfficialShirrel RhodesOffice Manager · (910) 642-3214
Enumeration DateApril 19, 2006
Last NPPES UpdateMarch 16, 2010
NPI 1942265301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

220 JEFFERSON ST, Whiteville, NC 28472

Other Identifiers 1

Medicare ID-Type Unspecified1164NC · Medicare Group Provider

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0246078

Walters Surgical Associates · Whiteville, NC
Active · expires Aug 31, 2026
CLIA Number34D0246078
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRonald M. Walters MD
Laboratory Phone(910) 642-3214
Laboratory LocationWalters Surgical Associates220 Jefferson St, Whiteville, NC 28472
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physician Assistant (Surgical)
220 JEFFERSON ST
WHITEVILLE, NC 28472
Surgery
220 JEFFERSON ST
WHITEVILLE, NC 28472
Surgery
220 JEFFERSON ST
WHITEVILLE, NC 28472

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942265301, enumerated as an "organization" on April 19, 2006.

The provider is located at 220 JEFFERSON ST WHITEVILLE, NC 28472 and the phone number is (910) 642-3214.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.