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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: August 09, 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
Phone(910) 642-3214
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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 NPPES 3

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

JAMES RICHARD OLES PA-C
Physician Assistant (Surgical)
220 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-3214
DR. DAVID LAWRENCE GRECO M.D.
Surgery
220 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-3214
DR. RONALD MARTIN WALTERS M.D.
Surgery
220 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-3214

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 Walters Surgical Assoc PA's NPI number?

The NPI number for Walters Surgical Assoc PA is 1942265301. It was assigned to this organization in the NPPES registry on April 19, 2006.

Where is Walters Surgical Assoc PA located?

Walters Surgical Assoc PA is located at 220 Jefferson St, Whiteville, NC 28472. The listed phone number is (910) 642-3214.

What is Walters Surgical Assoc PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Walters Surgical Assoc PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0246078) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walters Surgical Assoc PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next list Walters Surgical Assoc PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walters Surgical Assoc PA was last updated on March 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.