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

Emily Marie Waller, PA-C

Individual provider Physician Assistant · NPI 1679857254

Emily Marie Waller, PA-C is a Physician Assistant in Rocky Mount, Virginia. Qualified in 2011, 15 years ago. Practices with Carilion Giles Community Hospital, a 220-clinician group and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
15
Licensed in
MD, VA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

390 S Main St Ste 201
Rocky Mount, VA 24151-1766
Phone: (540) 484-4800
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110003904 (VA)
Physician Assistant Taxonomy 363A00000X · Licence C0004578 (MD)

Record details

NPI number1679857254
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2011
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Carilion Giles Community Hospital — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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