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Samuel Walker, PCCSSS
NPI 1366203077 · Peer Specialist · Gulfport, MS
Samuel Walker, PCCSSS is a Peer Specialist provider in Gulfport, MS (NPI 1366203077).
Provider details
- NPI number
- 1366203077
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PCCSSS
- Sex
- Male
- Sole proprietor
- No
- License
- 4138 (MS)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 Broad Ave
Gulfport, MS 39501-3603
Phone: (228) 213-5888
Fax: (228) 575-3433
Street-level locationGet directions
Mailing address
Po Box 18679
Hattiesburg, MS 39404-8679
Registry dates
- Enumerated
- 2024-01-19
- Last updated
- 2024-01-19
- Certified
- 2024-01-19
Frequently asked questions
- What is Samuel Walker's NPI number?
- Samuel Walker's National Provider Identifier (NPI) is 1366203077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Walker's specialty?
- Samuel Walker is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Samuel Walker located?
- Samuel Walker's practice location on file with NPPES is 1600 Broad Ave, Gulfport, MS 39501-3603.
- What is Samuel Walker's phone number?
- The practice phone number listed in the NPPES registry for Samuel Walker is (228) 213-5888.
- Is Samuel Walker's NPI active?
- Yes — Samuel Walker's NPI (1366203077) is active in the NPPES registry as of the last update on 2024-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.