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

Individual provider Anesthesiologist Assistant · NPI 1972219442

Kaci Waller, C-AA is an Anesthesiology Assistant in Marietta, Georgia. Qualified in 2022, 4 years ago. Practices with Ams Southeast LLC, a 82-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2023
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Practice location Address checks out

2637 Arbor Glen Pl
Marietta, GA 30066-4274
Phone: (229) 589-7427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1972219442
Entity typeIndividual (Type 1)
GenderFemale
Credentials C-AA
Sole proprietorNo
NPI enumeratedJanuary 27, 2023
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 26, 2023
Mailing address2637 Arbor Glen Pl, Marietta, GA 30066-4274

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ams Southeast Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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