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

Leah M Waller, PA

Individual provider Medical Physician Assistant · NPI 1962873711

Leah M Waller, PA is a Medical Physician Assistant in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone: (912) 535-5800
Fax: (912) 535-5830
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 007734 (GA)

Record details

NPI number1962873711
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 19, 2015
Last updated in NPPESOctober 17, 2019

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