DR. WILLIAM I WALLER III (NPI# 1871525774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871525774 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM I WALLER III |
| Credential | M.D. |
| Practice Address |
1211 Columbia Dr Milledgeville GA 31061 |
| Practice Telephone | 4784521780 |
| Practice Fax Number | 4784521786 |
| Mailing Telephone | 4784521780 |
| Mailing Fax Number | 4784521786 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 017899 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE LISCENCE | 017899 | 01 |
| Street Address |
1211 COLUMBIA DR |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1629619945 | Gini M Ellis | Counselor | Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 | 2019-10-08 |
| 1356992275 | Community Health Care Systems, Inc | Clinic/Center | 100 N Abc Street, Milledgeville, GA 31061 | 2019-09-23 |
| 1467923805 | Adam Tocio | Specialist/Technologist | 350 W. Washington St., Milledgeville, GA 31061 | 2018-12-11 |
| 1487170304 | Aubrey Martin | Specialist/Technologist | 251 S Clark St., Milledgeville, GA 31061 | 2017-08-22 |
| 1427573054 | Heritagefirst Home Care Inc. | In Home Supportive Care | 1277 Twin Pine Road, Milledgeville, GA 31061 | 2017-08-04 |
| 1851813893 | Brittany Shantrel Primas | Nurse Practitioner | 102 A Airport Road Ne, Milledgeville, GA 31061 | 2017-07-12 |
| 1609300839 | Samantha Weldon | Behavioral Analyst | 174 Stewart Dr Nw, Milledgeville, GA 31061 | 2017-04-14 |
| 1427425230 | Foster Deariso | Specialist/Technologist | 251 S Clarke St, Milledgeville, GA 31061 | 2015-08-27 |
| 1023406279 | Llewelyn Garillos | Occupational Therapist | 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 | 2014-12-22 |
| Find all providers in zip 31061 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770047276 | Ekrem Dogan | Internal Medicine | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2019-01-29 |
| 1336485143 | Guido F Graciaa | Internal Medicine | 120 Nothwoods Dr, Milledgeville, GA 31061 | 2012-12-26 |
| 1861714420 | George Martinez Office of Internal Medicine LLC | Internal Medicine | 750 N. Cobb St., Ste 120, Milledgeville, GA 31061 | 2010-02-24 |
| 1649339508 | Saqib Ahmed Nazir | Internal Medicine | 644 N Cobb St, Suite 9, Milledgeville, GA 31061-2348 | 2006-12-07 |
| 1598832602 | Oconee Regional Health Ventures, Inc | Internal Medicine | 425 N Cobb St, Milledgeville, GA 31061-2634 | 2006-11-30 |
| 1235141094 | Rashmi Hooda | Internal Medicine | 511 N Cobb St, Suite 13, Milledgeville, GA 31061 | 2006-08-12 |
| 1942231519 | Dragos A Filimon | Internal Medicine | 127 N Main St Sw, Milledgeville, GA 31061-5210 | 2006-07-05 |
| 1689604449 | Willis Reid Roberts Jr. | Internal Medicine | 2803 N Columbia St Unit D, Milledgeville, GA 31061-6448 | 2006-07-04 |
| 1376530774 | Patrice D Boddie | Internal Medicine | 240 N Wayne St, Milledgeville, GA 31061-3438 | 2005-09-30 |
| 1174518856 | Ram K Puri | Internal Medicine | 1209 Columbia Dr, Milledgeville, GA 31061-2395 | 2005-09-19 |
| Find all providers in MILLEDGEVILLE | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31061 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.