Joseph G Waller (NPI# 1376778258, PAC ID# 7113172057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1376778258 |
| PAC ID by PECOS | 7113172057 |
| Professional Enrollment ID | I20180124001787 |
| Full Name | Joseph G Waller |
| Organization Legal Name | GRIFFIN RADIATION ONCOLOGY CENTER LLC |
| Address |
725 S 8th St Griffin GA 30224-4818 |
| Phone Number | 7702283737 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 9931332178 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110031 | WELLSTAR SPALDING REGIONAL HOSPITAL |
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 725 S 8th St, Griffin, GA 30224-4818 | 7702283737 | GRIFFIN RADIATION ONCOLOGY CENTER LLC |
| Organization Legal Name | GRIFFIN RADIATION ONCOLOGY CENTER LLC |
| Physicians | 1 |
| Street Address |
725 S 8TH ST |
| City | GRIFFIN |
| State | GA |
| Zip | 30224-4818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jolina Pamela C Santos | Nephrology | Peach State Nephrology | 619 S St, Suite 100, Griffin, GA 30224 |
| Sonu Singh | Nephrology | Peach State Nephrology | 619 S St, Suite 100, Griffin, GA 30224 |
| James J Clark | Optometry | 210 S 16th St, Griffin, GA 30224-2663 | |
| Angela Parker | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Vicky E Mack | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 621 Carver Rd, Griffin, GA 30224-3937 |
| Nballu Goba | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Carlena Plunkett | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Latonia Michelle Trawick | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Stephanie Nichole Van Dine | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
| Dwayne L Watkins | Internal Medicine | Heartland Healthcare PC | 327 S 9th St, Griffin, GA 30224-4111 |
| Find all physicians in zip 30224 | |||
| City | GRIFFIN |
| Zip Code | 30224 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | GRIFFIN + RADIATION ONCOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.