Keith Nesta Walters, - Medicare Internal Medicine in Fairburn, GA

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Keith Nesta Walters, is a medicare enrolled "Internal Medicine" physician in Fairburn, Georgia. He went to Meharry Medical College School Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Medlife Healthcare Llc and his current practice location is 2220 Jonesboro Rd Ste 101a, Fairburn, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 400-4590.

Keith Nesta Walters is licensed to practice in Georgia (license number 13706) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174264907.

Contact Information

Keith Nesta Walters,
2220 Jonesboro Rd Ste 101a,
Fairburn, GA 30213-3544
(770) 400-4590
Not Available

Map and Direction




Physician's Profile

Full NameKeith Nesta Walters
GenderMale
SpecialityInternal Medicine
Experience4 Years
Location2220 Jonesboro Rd Ste 101a, Fairburn, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith Nesta Walters attended and graduated from Meharry Medical College School Of Medicine in 2022
  NPI Data:
  • NPI Number: 1174264907
  • Provider Enumeration Date: 04/05/2022
  • Last Update Date: 08/12/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5092196774
  • Enrollment ID: I20251007000473

Medical Identifiers

Medical identifiers for Keith Nesta Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174264907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 13706 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medlife Healthcare Llc15577610877

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keith Nesta Walters allows following entities to bill medicare on his behalf.
Entity NameGwinnett Clinic, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629117650
PECOS PAC ID: 9436061801
Enrollment ID: O20031104000266
Entity NamePiedmont Medical Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912956046
PECOS PAC ID: 6002802220
Enrollment ID: O20040422001500
Entity NamePiedmont Professional Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104088905
PECOS PAC ID: 8921176231
Enrollment ID: O20081014000187
Entity NameMedlife Urgent Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083249114
PECOS PAC ID: 4789005463
Enrollment ID: O20200604002308
Entity NameMedlife Healthcare LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558974709
PECOS PAC ID: 1557761087
Enrollment ID: O20210621001050

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Nesta Walters is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keith Nesta Walters,
1230 Baxter St,
Athens, GA 30606-3712

Ph: (706) 389-3860		Keith Nesta Walters,
2220 Jonesboro Rd Ste 101a,
Fairburn, GA 30213-3544

Ph: (770) 400-4590

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.