Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1285678680 Deactivated / Inactive NPI Male Practitioner

Stephen C Waller , PA

Physician Assistant • Chattanooga, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stephen Waller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2006
NPI Deactivation Date March 12, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Stephen Waller, PA was a registered Physician Assistant practicing in Chattanooga, TN. Throughout an active medical career spanning 20 years, Stephen Waller provided care at the practice location at 6925 SHALLOWFORD RD until profile deactivation on 2026-03-12.

Practice Location & Contact Primary Location

Practice Address

6925 Shallowford Rd
Suite 206

Chattanooga, TN 374211787

Telephone 4238940432
Fax 4238940475
Associated Practice Facility / Clinic
🏢 Medtech Enterprises Facility NPI 1790831113

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chattanooga, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
153 Specialists

Practicing in Chattanooga, TN (3096 Statewide)

Telehealth Adoption Rate
3.3% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN PA0000000545

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Patricia Geraghty , RPA-C

Physician Assistant

NPI 1457522773

RPAC

Dr. Jonathan Kerley , DO

Internal Medicine

NPI 1568442689

Doctor of Osteopathic Medicine (D.O.)

NPI 1619258183

Doctor of Chiropractic

Kate Estella-Walter , ANP

Nurse Practitioner

NPI 1639347180

Adult Nurse Practitioner

Geoffrey Peterson , APN

Nurse Practitioner

NPI 1659459139

Advanced Practice Nurse

Danielle Bucken

Physician Assistant

NPI 1750718383

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 12, 2026

Record deactivated on March 12, 2026

NPI Profile Active October 06, 2008

NPI status registered as active in NPPES database

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Updated Practice Location October 06, 2008

Registered at 6925 SHALLOWFORD RD, SUITE 206, CHATTANOOGA, TN 374211787 (Tel: 4238940432)

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Updated Business Mailing Address October 06, 2008

Registered at 6925 SHALLOWFORD RD, SUITE 206, CHATTANOOGA, TN 374211787 (Tel: 4238940432)

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Provider Name / Credentials Updated October 06, 2008

Recorded as STEPHEN WALLER, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2008

Physician Assistant (License #PA0000000545 in TN)

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Initial NPI Registration & Enumeration June 15, 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: 1285678680
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: October 06, 2008
Deactivation Date: March 12, 2026

Mailing Address

6925 Shallowford Rd, Suite 206

Chattanooga, TN 374211787

Phone: 4238940432

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.