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

Tara T Walker, PA

Individual provider Medical Physician Assistant · NPI 1730798950

Tara T Walker, PA is a Physician Assistant in Madison, Mississippi. Qualified in 2020, 6 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

106 Highland Way Ste 200
Madison, MS 39110-6933
Phone: (601) 200-4141
Fax: (601) 200-4150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 106 Highland Way Ste 103, Madison, MS 39110-6930 — (601) 200-4750

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00514 (MS)

Record details

NPI number1730798950
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 23, 2020
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021
Mailing addressPo Box 23666, Jackson, MS 39225-3666

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St. Dominic Medical Associates Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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