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NPI · 1962115873 · NPPES-sourced

Mr. Walter Heatherly

ActivePhysician Assistant
NPI Number
1962115873
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(615) 274-9767
Primary practice line
Last Updated
Enumerated
Primary practice addressTN · 37027-2737
9019 Overlook Blvd Ste C1bBrentwood, TN 37027-2737
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About this NPIWhat this record shows.

NPI 1962115873 is registered to Mr. Walter Heatherly, a Physician Assistant practising at 9019 Overlook Blvd Ste C1b in Brentwood, Tennessee. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Walter Heatherly has been enumerated in the National Provider Identifier (NPI) registry since 2023.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Walter Heatherly accepts. To confirm in-network status with your specific health plan, contact Mr. Walter Heatherly directly at (615) 274-9767.

Frequently asked

Yes. NPI 1962115873 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (615) 274-9767.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Walter Heatherly is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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