DR. KEVIN DOUGLAS WAITS (NPI# 1912235888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912235888 |
| Entity Type | Individual |
| Full Name | DR. KEVIN DOUGLAS WAITS |
| Credential | MD |
| Practice Address |
1240 Jesse Jewell Pkwy Se Ste 300 Gainesville GA 30501-3861 |
| Practice Telephone | 7705337288 |
| Practice Fax Number | 7705349800 |
| Mailing Telephone | 7705337288 |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2020-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 84824 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | VA | Student, Health Care | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 E Marshall St, Ns: Neurosurgery, Richmond, VA 232985051 | 8048282437 | 8048281953 |
| 1270 Friendship Rd, Braselton, GA 305175608 | 6782074600 | 6782074601 |
| 1400 River Pl, Braselton, GA 305175600 | 7705337288 | 7705349800 |
| 1945 Beverly Rd, Gainesville, GA 305012034 | 7705337288 | 7705349800 |
| 743 Spring St Ne, Gainesville, GA 305013715 | 7705337288 | 7705349800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811904626 | Kevin A Waits | Obstetrics & Gynecology | 2430 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2006-08-02 |
| Street Address |
1240 JESSE JEWELL PKWY SE STE 300 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636164 | Kimberly Lynn Brown | Physician Assistant | 1240 Jesse Jewell Pkwy Se Ste 300, Gainesville, GA 30501-3861 | 2020-07-06 |
| 1760019111 | Melanie Valencia | Technician/Technologist | 1240 Jesse Jewell Pkwy Se Ste 300, Gainesville, GA 30501-3861 | 2020-03-25 |
| 1285264051 | Kerra Canup | Specialist/Technologist, Other | 1240 Jesse Jewell Pkwy Se Ste 300, Gainesville, GA 30501-3861 | 2020-01-21 |
| 1477183234 | Meredith Riner | Specialist/Technologist, Other | 1240 Jesse Jewell Pkwy Se Ste 300, Gainesville, GA 30501-3861 | 2020-01-21 |
| 1912541533 | Samantha Morgan Kleiber | Physician Assistant | 1240 Jesse Jewell Pkwy Se Ste 300, Gainesville, GA 30501-3861 | 2019-11-06 |
| 1174164529 | Specialty Spine and Pain, PC | Pain Medicine | 1240 Jesse Jewell Pkwy Se Ste 300, Gainesville, GA 30501-3861 | 2019-10-07 |
| 1154895332 | Allison Leigh Hedden | Physician Assistant | 1240 Jesse Jewell Pkwy Se Ste 300, Gainesville, GA 30501-3861 | 2019-01-21 |
| 1194244509 | Morgan Bennett | Specialist/Technologist | 1240 Jesse Jewell Pkwy Se Ste 300, Gainesville, GA 30501-3861 | 2017-09-18 |
| 1619222528 | Shawn William Moore | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se Ste 300, Gainesville, GA 30501-3861 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1992050751 | Takashi Morishita | Neurological Surgery | 1149 Newell Dr, Room L2-100, Gainesville, FL 32610-0265 | 2012-07-18 |
| 1558628412 | Christopher Patrick Carroll | Neurological Surgery | 1515 Sw Archer Road, Department of Neurosurgery, Gainesville, FL 32610 | 2012-04-17 |
| 1427251230 | Adam J Polifka | Neurological Surgery | 1505 Sw Archer Rd, Gainesville, FL 32610-1544 | 2007-06-08 |
| 1134241243 | William Christopher Fox | Neurological Surgery | University of Florida Neurosurgery, 1600 Sw Archer Road, Gainesville, FL 32610-0261 | 2007-04-06 |
| 1821167248 | Maryam Rahman | Neurological Surgery | 1600 Sw Archer Rd # 100265, Gainesville, FL 32610-3003 | 2006-11-07 |
| 1225117039 | Lance S. Governale | Neurological Surgery | 1149 South Newell Drive;, Univ of Florida; Dept of Neurosurgery; Room L2-100, Gainesville, FL 32611 | 2006-11-03 |
| 1538279690 | Joseph Claud Cauthen IIi | Neurological Surgery | 6510 Nw 9th Blvd, Suite 1, Gainesville, FL 32605 | 2006-08-30 |
| 1619944311 | Sivasupiramaniam Sriharan | Neurological Surgery | 6400 W Newberry Rd Ste 206, Gainesville, FL 32605-4391 | 2006-03-02 |
| 1124642970 | Anderson Yeh | Neurological Surgery | 1600 Sw Archer Rd, Gainesville, FL 32610-4754 | 2020-06-07 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.