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

Keith Nesta Walters

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174264907

Keith Nesta Walters is an Internal Medicine in Athens, Georgia. Graduated from Meharry Medical College School of Medicine in 2022, 4 years ago. Practices with Medlife Healthcare LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Trained at
Meharry Medical College School of Medicine
Licensed in
GA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1500 Oglethorpe Ave Ste 200D
Athens, GA 30606-2165
Phone: (706) 389-3875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 13706 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (GA)

Record details

NPI number1174264907
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address1230 Baxter St, Athens, GA 30606-3712

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Medlife Healthcare Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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