DEREK BRIAN WALKER – Anesthesiologist Assistant, NPI 1982916532

DEREK BRIAN WALKER is a healthcare provider. based in Tifton, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. The NPI Number for DEREK BRIAN WALKER is 1982916532

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DEREK BRIAN WALKER
NPI
1982916532
Phone
(229) 339-7190
Address
2766 OLD OCILLA ROAD
Enumeration Date
12 July 2010
Last Update Date
12 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2299853420
Graduation Year
2010 (16 years ago)
PAC ID
2860687019
Group Practice PAC ID
3870880792
Professional Enrollment ID
I20110322000032
Address ID
GA317686925MO3131XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:15State licenses:0Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for DEREK BRIAN WALKER

  • 2766 OLD OCILLA ROAD

    TIFTON, GA 31794

    Phone: (229) 339-7190

    Type: Mailing

  • 417 W 3RD AVE

    ALBANY, GA 317011943

    Phone: (877) 312-1167

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-03-22

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
I20110322000032IAnesthesiology AssistantGATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2928$0
00812Anesthesia for exam of colon using an endoscope2626$0
View full utilization report →

Insurance plans in this area (ZIP 31794)

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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: 3870880792View full group profile
NameSpecialtyState
-GA
Certified Registered Nurse Anesthetist (Crna)GA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
-GA
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

What is the registry number for DEREK BRIAN WALKER?
The registry entry for DEREK BRIAN WALKER shows NPI 1982916532.
Quick check: is DEREK BRIAN WALKER active?
Public NPPES data shows DEREK BRIAN WALKER with an active NPI status right now.
What does the directory say DEREK BRIAN WALKER does?
Insurance directories may phrase it differently, but here DEREK BRIAN WALKER maps to Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DEREK BRIAN WALKER?
DEREK BRIAN WALKER is associated with Tifton, Georgia in the same public data insurers reference.
Who maintains DEREK BRIAN WALKER's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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