Samuel Waling

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO.3471 Issued in AL

Practice address

1650 Slaughter Rd Ste a
Madison, AL 35758-8610

Phone

(256) 325-3646

Fax

(256) 325-3647

NPI assigned

Mar 29, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HH Health System Crestwood Physicians, LLCGroup PAC ID 8628546397, 33 clinicians

Crestwood Physician Services, LLCGroup PAC ID 3476735648, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Health Home health agency, Huntsville, AL, CCN 017176
• Amedisys Home Health of Huntsville Home health agency, Huntsville, AL, CCN 017039
• Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131
• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
• Athens Limestone Hospital Hospital, Athens, AL, CCN 010079

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.waling.4@3038.direct.athenahealth.com
• Direct secure messaging: samuel.waling.2@3038.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4
• Direct secure messaging: samuel.waling.3@3038.direct.athenahealth.com
• Direct secure messaging: samuel.waling.1@3038.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crestwood Physician Services, LLC

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1154622520
  Medicare reassignment Care Compare group NPD
• HH Health System Crestwood Physicians, LLC

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1487507117
  Medicare reassignment Care Compare group
• Albany Area Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1780608992
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Albany Area Primary Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1013709625
  NPD
• Albany Area Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Leesburg, GA
  • NPI 1568497030
  NPD
• Rainbow Family Medicine

  • Clinic/Center
  • Madison, AL
  • NPI 1447498449
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Home Health of Alabama, LLC

  • Home Health Agency
  • Huntsville, AL
  • NPI 1013975309
  Care Compare affiliation
• Comfort Care Home Health of North Alabama, LLC

  • Home Health Agency
  • Huntsville, AL
  • NPI 1992230601
  Care Compare affiliation
• Crestwood Healthcare LP

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1023061496
  Care Compare affiliation
• HH Health System - Athens Limestone, LLC

  • General Acute Care Hospital
  • Athens, AL
  • NPI 1144695081
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1053774018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N WESTOVER BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072983",
            "telephone_number": "229-888-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SLAUGHTER RD STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588610",
            "telephone_number": "256-325-3646",
            "fax_number": "256-325-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2195 Harrodsburg Road",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043504",
            "country_code": "US",
            "telephone_number": "859-257-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Walnut Ave S",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "GA",
            "postal_code": "317634367",
            "country_code": "US",
            "telephone_number": "229-759-6508",
            "fax_number": "229-759-9950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALING",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "83891",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "IP1540",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.3471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Waldrop, PMHNP-BC
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Courtney Walker-Baker, RD
• Abby Walker, CCC-SLP
• Alysha Walker, CNM
• Desiree Maria Walker I, MS, RDN,CSP, LD
• Unity Walker, PH.D

• Family Medicine Physician in Madison, AL
• Providers in Madison, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.