NPI age
20 years
Enumerated 2005-06-14
● Active
Type 1 · Individual
DR. James David Waller, MD
Waller is 1 of 6 internal medicine providers in Moultrie and 1 of 952 in Georgia.
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 952 active internal medicine providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
40% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Practice location
3004 2nd St Se
Moultrie, GA 317686797
Mailing address
Po Box 2876
Moultrie, GA 317762876
Specialties
-
Internal Medicine PrimaryAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000565177H | |
| 05 (GA) | 000565177L | |
| 05 (GA) | 000565177J | |
| 05 (GA) | 000565177I | |
| 05 (GA) | 000565177K |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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