Individual provider Active NPI

Emily Gea Waller, APN

  • Internal Medicine Physician
  • Smyrna, TN
National Provider Identifier
1215500020
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28722 Issued in TN
Practice address
741 President PL Ste 200
Smyrna, TN 37167-6809
Phone
(615) 459-7104
Fax
(615) 459-7104
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 28722 TN Primary

Addresses

Primary practice location

741 President PL Ste 200
Smyrna, TN 37167-6809

Mailing address

741 President PL Ste 200
Smyrna, TN 37167-6809
Phone (615) 459-7104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211001000080 TN Practitioner - Nurse Practitioner 6305243593 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palliative Care Services, PLLCGroup PAC ID 1052588977, 19 clinicians

Practice addresses (Care Compare)

2030 Hamilton Place Blvd
Suite 220
Chattanooga, TN 37421-6040
Phone (423) 892-4289

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28722TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health Internal Medicine CurrentSince Dec 27, 2023 Accepting new patients
Palliative Care Services, PLLC Internal Medicine CurrentSince Jul 22, 2024 Accepting new patients
Erlanger Health CurrentSince Dec 27, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority Internal Medicine CurrentSince Jun 5, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jun 5, 2023 Accepting new patients

Locations

2030 Hamilton Place Blvd
Ste 220
Chattanooga, TN 37421
Phone (423) 553-1823

1755 Gunbarrel Rd
Ste 209
Chattanooga, TN 37421
Phone (423) 305-7964

979 E 3rd St
Ste C925
Chattanooga, TN 37403
Phone (423) 778-5910

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

500 Faulconer Dr
Ste 200
Charlottesville, VA 22903
Phone (434) 977-9711

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1215500020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 PRESIDENT PL STE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676809",
            "telephone_number": "615-459-7104",
            "fax_number": "615-459-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 PRESIDENT PL STE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676809",
            "telephone_number": "615-459-7104",
            "fax_number": "615-459-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "EMILY",
        "middle_name": "GEA",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "28722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.