SAMUEL WALING – Family Medicine Physician, NPI 1053774018

SAMUEL WALING is a healthcare provider. based in Leesburg, Georgia. specializing in FAMILY PRACTICE. They hold a License No. 83891 (GA). The NPI Number for SAMUEL WALING is 1053774018

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL WALING
NPI
1053774018
Phone
(229) 759-6508
Address
235 Walnut Ave S
Enumeration Date
29 March 2016
Last Update Date
19 December 2023

Doctor Profile

Medical School Name
LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Secondary Phone
2563253646
Graduation Year
2016 (10 years ago)
PAC ID
5991070013
Group Practice PAC ID
3476735648
Professional Enrollment ID
I20231227001260
Address ID
AL357588610MA1650XRDXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:10State licenses:3Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for SAMUEL WALING

  • 235 Walnut Ave S

    Leesburg, GA 317634367

    Phone: (229) 759-6508

    Fax: (229) 759-9950

    Type: Location

  • 2195 Harrodsburg Road

    Lexington, KY 405043504

    Phone: (859) 257-7231

    Type: Location

  • 235, Walnut Avenue South, Leesburg, Lee County, Georgia, 31763, United States

    LEESBURG, GA 317634367

    Phone: (229) 759-6508

    Fax: (229) 759-9950

    Type: Location

  • 204, North Westover Boulevard, Pointe North, Westwood, Albany, Dougherty County, Georgia, 31707, United States

    ALBANY, GA 317072983

    Phone: (229) 888-6559

    Type: Mailing

  • 1650 SLAUGHTER RD STE A

    MADISON, AL 357588610

    Phone: (256) 325-3646

    Fax: (256) 325-3647

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $862.

Total Amount is formed as General ($862) + Research ($0) + Ownership ($0) = $862.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($189).

Total Amount

$862

General + Research + Ownership

Payments

49

Total payment records

General Amount

$862

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190923001788IFamily PracticeGATBD
I20231227001260IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2215$0
View full utilization report →

Insurance plans in this area (ZIP 31763)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476735648View full group profile
NameSpecialtyState
Nurse PractitionerAL
-AL
Family PracticeAL
Internal MedicineFL
-AL
Internal MedicineMD
G A S T R O E N T E R O L O G YAL
Family PracticeAL
Internal Medicine, HospitalistAL
-AL

Reviews

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Frequently asked questions

What identifier follows SAMUEL WALING across health systems?
The NPI 1053774018 uniquely identifies SAMUEL WALING in U.S. healthcare data.
Does the public listing show SAMUEL WALING as active?
SAMUEL WALING's NPI record reflects an active status in NPPES.
Which specialty label fits SAMUEL WALING?
NPPES ties SAMUEL WALING to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit SAMUEL WALING in Leesburg, Georgia?
For routing, start with Leesburg, Georgia for SAMUEL WALING, then verify phone and hours locally.
Why is information missing for SAMUEL WALING?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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