NPI age
20 years
Enumerated 2005-09-02
● Active
Type 1 · Individual
DR. Warren Stuart Theis, M.D.
Theis is 1 of 5 general practice providers in Waycross and 1 of 661 in Georgia.
Primary specialty
General Practice
Plus 3 subspecialties
Licensed in
GA, VA, CA, FL
4 states
Status
Active
No deactivations on record
Last NPPES update
2009-06-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 661 active general practice providers in Georgia.
NPI age
20 years
↑ 6 yr above median (14 yr)
State licenses
4 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
1405 Alice St
Waycross, GA 315014528
Mailing address
1405 Alice St
Waycross, GA 315014528
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 67269005A |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 5 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.