MEDICARE: WALTERS ANESTHESIA SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1548108657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALTERS ANESTHESIA SERVICES LLC

Provider Business Mailing Address
First Line	:	1870 THE EXCHANGE SE STE 220 PMB 905708
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2171
Country	:	US
Telephone Number	:	601-540-6521
Fax Number	:

Provider Business Practice Location Address
First Line	:	2117 SILAS WAY NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318
Country	:	US
Telephone Number	:	601-540-6521
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DAREN RASHAD WALTERS
Credential	:	MD
Telephone Number	:	601-540-6521

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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