NPI age
10 years
Enumerated 2015-10-19
● Active
Type 1 · Individual
Leah M Waller, PA
Waller is 1 of 7 physician assistant providers in Vidalia and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-10-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1333 active physician assistant providers in Georgia.
NPI age
10 years
↓ 5 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-10Enumerated in NPPES
2015
2026
Where they practice
Practice location
1 Meadows Pkwy
Vidalia, GA 304748759
Mailing address
Po Box 407
Vidalia, GA 304750407
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 43 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.
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