DR. JERRY LEE II WALTERS (M.D.) – Neurological Surgery Physician, NPI 1083058291

DR. JERRY LEE II WALTERS (M.D.) is a healthcare provider. based in Marietta, Georgia. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. 85938 (GA). The NPI Number for DR. JERRY LEE II WALTERS (M.D.) is 1083058291

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY LEE II WALTERS (M.D.)
NPI
1083058291
Phone
(770) 291-8987
Address
718 CHEROKEE ST NE
Enumeration Date
18 April 2013
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
7069450810
Graduation Year
2013 (13 years ago)
PAC ID
7012232739
Group Practice PAC ID
6002812401
Professional Enrollment ID
I20200710000655
Address ID
GA309095626AU1321XPKWY300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

187 NEUROSURGERY in GA

Provider Addresses for DR. JERRY LEE II WALTERS (M.D.)

  • 718 CHEROKEE ST NE

    MARIETTA, GA 300607253

    Phone: (770) 291-8987

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $3,254.

Total Amount is formed as General ($3,254) + Research ($0) + Ownership ($0) = $3,254.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Boston Scientific Corporation ($1,288).

Total Amount

$3,254

General + Research + Ownership

Payments

59

Total payment records

General Amount

$3,254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200710000655INeurosurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes13683$0
99203New patient office or other outpatient visit, 30-44 minutes4545$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
99212Established patient office or other outpatient visit, 10-19 minutes2623$0
99214Established patient office or other outpatient visit, 30-39 minutes2420$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002812401View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Pain ManagementVA
Internal MedicineGA
Nurse PractitionerGA
Family PracticeGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Family PracticeGA
Orthopedic SurgeryWV
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

Is DR. JERRY LEE II WALTERS (M.D.) listed with a National Provider Identifier?
Yes — DR. JERRY LEE II WALTERS (M.D.) has NPI 1083058291 on file in the registry.
Is DR. JERRY LEE II WALTERS (M.D.) still an active registrant?
DR. JERRY LEE II WALTERS (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. JERRY LEE II WALTERS (M.D.)?
DR. JERRY LEE II WALTERS (M.D.)'s specialty line reads Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is DR. JERRY LEE II WALTERS (M.D.) registered?
Use Marietta, Georgia as the headline location for DR. JERRY LEE II WALTERS (M.D.) here.
Can I trust this NPI listing for DR. JERRY LEE II WALTERS (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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