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

Dr. James David Waller, MD

Individual provider Cardiovascular Disease Physician · NPI 1902801285

Dr. James David Waller, MD is a Cardiovascular Disease Physician in Moultrie, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
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

3004 2nd St SE
Moultrie, GA 31768-6797
Phone: (229) 891-9131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 037415 (GA)

Record details

NPI number1902801285
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2005
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023
Mailing addressPo Box 2876, Moultrie, GA 31776-2876

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