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

Justin Waller, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1760122006

Justin Waller, DPM is a Podiatry in Hickory, North Carolina. Graduated from Temple University School of Podiatric Medicine in 2022, 4 years ago. Practices with Eldridge Podiatry PA, a 5-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Trained at
Temple University School of Podiatric Medicine
Licensed in
NC
In the registry since
2022
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1501 Tate Blvd SE
Hickory, NC 28602-1384
Phone: (828) 304-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 852 (NC)

Record details

NPI number1760122006
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address1501 Tate Blvd Se, Hickory, NC 28602-1384

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Eldridge Podiatry Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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