Walnut Creek – Intellectual Disabilities Intermediate Care Facility, NPI 1780743815

Walnut Creek is a healthcare provider. based in Atlanta, Georgia. specializing in Intellectual Disabilities Intermediate Care Facility. The organization holds a License No. MHL-096-009 (NC). The NPI Number for Walnut Creek is 1780743815

Main info

Organization
Name
Walnut Creek
NPI
1780743815
Phone
(404) 364-2900
Address
1819 PEACHTREE RD NE
Authorized Official
JENNIFER LOZANO DIRECTOR OF REVENUE CYCLE
Enumeration Date
6 December 2006
Last Update Date
18 September 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Walnut Creek

  • Peachtree Road Northeast, Brookwood Hills, Atlanta, Fulton County, Georgia, 30363, United States

    STE 450

    ATLANTA, GA 303091848

    Phone: (404) 364-2900

    Fax: (404) 364-2901

    Type: Mailing

  • US Highway 117, Borden Homes, Goldsboro, Wayne County, North Carolina, 27530, United States

    GOLDSBORO, NC 275348155

    Phone: (919) 778-3524

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30309)

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Reviews

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Frequently asked questions

How is Walnut Creek identified in CMS data?
CMS-hosted NPPES data lists Walnut Creek with NPI 1780743815.
Does the file indicate Walnut Creek is practicing under active NPI?
Directory data currently reports Walnut Creek as active.
What taxonomy line describes Walnut Creek?
For research purposes, treat Walnut Creek as Intellectual Disabilities Intermediate Care Facility in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Walnut Creek?
Walnut Creek's geographic hint is Atlanta, Georgia in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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