Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrew Waller, MD

Individual provider Internal Medicine Physician · NPI 1053334219

Dr. Andrew Waller, MD is an Addiction Medicine in Abingdon, Virginia. Qualified in 1986, 40 years ago. Practices with Revida Recovery Centers PC, a 29-clinician group and works from 2 locations. Licensed in Tennessee and Virginia.

Years since qualifying
40
Licensed in
TN, VA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Valley St NE
Abingdon, VA 24210-2912
Phone: (276) 206-8197
Fax: (276) 206-8761
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3114 Browns Mill Rd, Johnson City, TN 37604-1417 — (423) 631-0432

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0101257630 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0101257630 (VA)
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X · Licence 0101257630 (VA)
General Practice Physician Taxonomy 208D00000X · Licence 51691 (TN)

Record details

NPI number1053334219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyADDICTION MEDICINE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Revida Recovery Centers Pc — 29 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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