NPI age
3 years
Enumerated 2023-04-26
● Active
Type 1 · Individual
MR. Roscoe Carl Walls JR., FNP-BC
Walls is 1 of 32 nurse practitioner providers in Baxley and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-04Enumerated in NPPES
2023
2026
Where they practice
Practice location
118 Azalea Rd, St 1
Baxley, GA 315137598
Mailing address
625 Deerfield Dr
Baxley, GA 315137598
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.