Dr. Andrew Waller, MD
Dr. Andrew Waller is a General Practice Physician provider (General Practice) practicing in Abingdon, VA, registered in the NPPES registry with NPI 1053334219 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053334219 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Andrew Waller |
| Credential | MD |
| Sex | Male |
| Practice address | 300 VALLEY ST NE, Abingdon, VA, 24210 |
| Phone | 2762068197 |
| Fax | 2762068761 |
| Enumeration date | 2006-07-26 |
| Last updated in NPPES | 2026-02-25 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | 0101257630 | VA |
| 208D00000X | General Practice Physician | Primary | 0101257630 | VA |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | Secondary | 0101257630 | VA |
| 208D00000X | General Practice Physician | Secondary | 51691 | TN |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Andrew Waller, MD NPI: 1053334219 Taxonomy: 208D00000X (General Practice Physician) Address: 300 VALLEY ST NE, Abingdon, VA, 24210
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457611295 | Natalia Blevins-Conner | Individual | Mental Health Counselor | Abingdon, VA |
| 1245574177 | Watauga Medical Group | Organization | Addiction Medicine (Family Medicine) Physician | Abingdon, VA |
| 1104163021 | Phyllis Justus | Individual | Family Nurse Practitioner | Abingdon, VA |
| 1295179364 | Hannah Ratliff | Individual | General Practice Physician | Abingdon, VA |
| 1710485503 | Candace Carbary | Individual | Nurse Practitioner | Abingdon, VA |
| 1013483486 | Revida Recovery Centers, PC | Organization | Addiction Medicine (Family Medicine) Physician | Abingdon, VA |
| 1598226045 | Joshua Mullins | Individual | Family Nurse Practitioner | Abingdon, VA |
Verify this record
Cross-check NPI 1053334219 against the authoritative CMS record: view Dr. Andrew Waller on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-25.