Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanna Blakley Walker

Individual provider Physician Assistant · NPI 1619532868

Breanna Blakley Walker is a Physician Assistant in Mocksville, North Carolina. Qualified in 2019, 7 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
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Practice location Address checks out

485 Valley Rd
Mocksville, NC 27028-2074
Phone: (336) 751-8000
Fax: (336) 751-8010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 650 Julian Rd, Salisbury, NC 28147-9078 — (704) 637-3373

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09131 (NC)

Record details

NPI number1619532868
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2019
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mocksville