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

Jeffrey Thomas Waltz, MD

Individual provider Diagnostic Radiology Physician · NPI 1104275528

Jeffrey Thomas Waltz, MD is a Diagnostic Radiology in Gainesville, Georgia. Graduated from Medical University of South Carolina College of Medicine in 2016, 10 years ago. Practices with Greensboro Radiology PA, a 235-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Georgia, North Carolina, South Carolina and Virginia.

Years since qualifying
10
Trained at
Medical University of South Carolina College of Medicine
Licensed in
GA, NC, SC, VA
In the registry since
2016
Specialties on file
5
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

743 Spring St NE
Gainesville, GA 30501-3715
Phone: (770) 219-9000
Show map & directions

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

Additional practice locations (5)

  • 4212 N 16th St, Phoenix, AZ 85016-5319 — (602) 263-1200
  • 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 — (336) 274-6682
  • 171 Ashley Ave, Charleston, SC 29425-4444 — (843) 792-6200
  • 1210 W Faris Rd, Greenville, SC 29605-4444 — (864) 522-1800
  • 2300 Opitz Blvd, Woodbridge, VA 22191-3311 — (703) 523-0611

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 94945 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 39669 (SC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2021-02770 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence LL39669 (SC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101273384 (VA)

Record details

NPI number1104275528
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESJanuary 11, 2026
Certification dateJanuary 11, 2026
Mailing addressPo Box 95460, Cleveland, OH 44101-0033

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Greensboro Radiology Pa — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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