NPI age
9 years
Enumerated 2016-06-07
● Active
Type 1 · Individual
Jeffrey Thomas Waltz, MD
Waltz is 1 of 51 radiology providers in Gainesville and 1 of 1280 in Georgia.
Primary specialty
Radiology
Plus 4 subspecialties
Licensed in
GA, SC, NC, VA
4 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1280 active radiology providers in Georgia.
NPI age
9 years
↓ 10 yr below median (19 yr)
State licenses
4 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-06Enumerated in NPPES
2016
2026
Where they practice
Practice location
743 Spring St Ne
Gainesville, GA 305013715
Mailing address
Po Box 95460
Cleveland, OH 441010033
Additional practice locations
5 secondary locations on file with NPPES.
Location 2
171 Ashley Ave
Charleston, SC 294254444
Location 3
1331 N Elm St Ste 200
Greensboro, NC 274016304
Location 4
1210 W Faris Rd
Greenville, SC 296054444
Location 5
2300 Opitz Blvd
Woodbridge, VA 221913311
Location 6
4212 N 16th St
Phoenix, AZ 850165319
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 396690 | |
| 05 (GA) | 300030405A |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.