J. Gregory Waller, DPM,P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000746 Issued in GA

Practice address

602 Pat Haralson Dr
Blairsville, GA 30512-8414

Phone

(706) 745-6764

Fax

(706) 745-7170

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union General Hospital Hospital, Blairsville, GA, CCN 110051
• Chatuge Regional Hospital Hospital, Hiawassee, GA, CCN 111324

Merit-based Incentive Payment System (MIPS)

Final score

79.83 of 100Reported as individual

Quality

59.67

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• J Gregory Waller PC

  • Podiatrist
  • Blairsville, GA
  • NPI 1295907848
  Medicare reassignment NPD

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

• Chatuge Regional Hospital Inc

  • Critical Access Hospital
  • Hiawassee, GA
  • NPI 1326028978
  Care Compare affiliation
• Union County Hospital Authority

  dba Union General Hospital

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1891714747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 PAT HARALSON DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128414",
            "telephone_number": "706-745-6764",
            "fax_number": "706-745-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 PAT HARALSON DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128414",
            "telephone_number": "706-745-6764",
            "fax_number": "706-745-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "J.",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DPM,P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000642672A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James H Varnell, MD
• Michael Alan Vaughn, PA
• My Duyen Hoang Vo-Simmons, MD
• Wal-Mart Stores East LP (WalMart Pharmacy 10-3485)
• Walgreen Co (Walgreens #17943)
• Kelley Lynne Watkins, LAT, ATC
• Wdihc.LLC (Comfort Keepers)
• Cynthia Webb
• Wendy L Smith M.D. PC
• Kenneth Craig West, D.D.S.

• Podiatrist in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.