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

Jerome H Waller Jr., MD

Individual provider Family Medicine Physician · NPI 1043262868

Jerome H Waller Jr., MD is a Family Practice in Liberty, South Carolina. Graduated from University of Kentucky College of Medicine in 1992, 34 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
34
Trained at
University of Kentucky College of Medicine
Licensed in
SC
In the registry since
2006
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 W Frnt ST
Liberty, SC 29657-1012
Phone: (864) 843-5605
Fax: (864) 843-0996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 E 1st Ave, Easley, SC 29640-3040 — (864) 859-6331

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 016611 (SC)

Record details

NPI number1043262868
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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