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Dr. James David Waller, MD

Cardiovascular Disease Physician in Moultrie, GA · enumerated 2005 · practices at Surgical Associates of South Georgia, P.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902801285

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Registry record

Entity type Individual (Type 1)
Name Dr. James David Waller
Credential MD
Sex Male
Practice address 3004 2nd St Se, Moultrie, GA, 31768
Phone (229) 891-9131
Enumeration date Jun 14, 2005
Last updated in NPPES Jul 28, 2023

Taxonomy & licenses

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 037415 (GA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
000565177H Medicaid GA -
000565177L Medicaid GA -
000565177J Medicaid GA -
000565177I Medicaid GA -
000565177K Medicaid GA -

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.

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Frequently asked questions

Where does James Waller practice?
The practice location on file with NPPES is in Moultrie, GA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for James Waller?
The National Provider Identifier (NPI) for James Waller is 1902801285, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-28.