Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962481226 Individual Practitioner Male Practitioner

Dr. Alan S Waller , MD

Surgery • Thomasville, GA

Professional Overview & Biography Verified Profile Summary

Dr. Alan Waller, MD is a registered healthcare professional specializing in Surgery in Thomasville, GA. Practice services are available at 100 MIMOSA DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Mimosa Drive

Thomasville, GA 31792

Telephone 2292268881
Fax 2292252165
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Thomasville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.3 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Thomasville, GA (1046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 018761

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License GA 018761

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000394732A (GA)
Medicaid State Provider ID
000394732G (GA)
Commercial Insurance / Payer ID Peach State
000394732A (GA)
Commercial Insurance / Payer ID Wellcare
207450 (GA)
Commercial Insurance / Payer ID Railroad Medicare
110153553 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
NPI 1053390153

Doctor of Medicine (M.D.)

Ivey Allen , PA

Physician Assistant - Surgical

NPI 1205119005

Physician Assistant

Stephanie Thompson , PA

Physician Assistant

NPI 1225339815

Physician Assistant

Sylvia Guidry , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1265593206
NPI 1376832261
NPI 1407835705

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2015

Registered at 100 MIMOSA DRIVE, THOMASVILLE, GA 31792 (Tel: 2292268881)

📍
Updated Business Mailing Address June 25, 2015

Registered at 100 MIMOSA DRIVE, THOMASVILLE, GA 31792 (Tel: 2292268881)

👤
Provider Name / Credentials Updated June 25, 2015

Recorded as ALAN WALLER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2015

Specialist (License #018761 in GA)

🟢
Initial NPI Registration & Enumeration January 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962481226
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2006
Last Update: June 25, 2015
Sole Proprietor: No

Mailing Address

100 Mimosa Drive

Thomasville, GA 31792

Phone: 2292268881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.