Susan Wanjiru Waitimu, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

95940 Issued in GA

Practice address

330 Turner McCall Blvd SW
Rome, GA 30165-5630

Phone

(706) 509-4340

NPI assigned

Apr 29, 2020

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054

Merit-based Incentive Payment System (MIPS)

Final score

88.96 of 100Reported as group

Quality

77.5

Improvement activities

40

Cost

74.58

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• 24 On Physicians, PC

  • Hospitalist Physician
  • Rome, GA
  • NPI 1912956251
  Medicare reassignment Care Compare group NPD
• 24 On Physicians, P.C.

  • Hospitalist Physician
  • Attleboro, MA
  • NPI 1790104511
  NPD
• Floyd Healthcare Management Inc

  dba Atrium Health Floyd Medical Center

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1154377166
  NPD (past)
• Floyd Healthcare Management Inc

  dba Atrium Health Floyd Cherokee Emergency Medical Services

  • Ambulance
  • Rome, GA
  • NPI 1356444814
  NPD (past)

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

• Floyd Healthcare Management Inc

  dba Atrium Health Floyd Medical Center

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1154377166
  Care Compare affiliation

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1649891839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE #70",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655630",
            "telephone_number": "706-509-4340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Prince Ave Suite 201",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "30606",
            "country_code": "US",
            "telephone_number": "706-475-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAITIMU",
        "first_name": "SUSAN",
        "middle_name": "WANJIRU",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "95940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Edward Voccio, MD
• Heinrich Von Ewegen, FNP-BC
• Starla Lynn Waddell
• Martha Wade
• Rachelle Wagner, OTRL
• Rebecca Waits, RN, CDE
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0658)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5151)
• Wal-Mart Stores East, LP (Vision Center 30-0658)
• Wal-Mart Stores East, LP (Vision Center 30-5151)

• Internal Medicine Physician in Rome, GA
• Providers in Rome, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.