DR. ADAM DAVID WALLER (M.D.) – Gastroenterology Physician, NPI 1275677411

DR. ADAM DAVID WALLER (M.D.) is a healthcare provider. based in Evans, Georgia. specializing in INTERNAL MEDICINE, GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 050745 (GA). The NPI Number for DR. ADAM DAVID WALLER (M.D.) is 1275677411

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADAM DAVID WALLER (M.D.)
NPI
1275677411
Phone
(706) 868-0104
Address
393 N BELAIR RD
Enumeration Date
19 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068548934
Graduation Year
1997 (29 years ago)
PAC ID
4486690013
Group Practice PAC ID
4486643434
Professional Enrollment ID
I20050705000617
Address ID
GA308093096EV393XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for DR. ADAM DAVID WALLER (M.D.)

  • 393 N BELAIR RD

    EVANS, GA 308093096

    Phone: (706) 868-0104

    Fax: (706) 650-7825

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $481.

Total Amount is formed as General ($481) + Research ($0) + Ownership ($0) = $481.

Last reported payment date: 2024-12-25 • Largest payer in this snapshot: ABBVIE INC. ($150).

Total Amount

$481

General + Research + Ownership

Payments

33

Total payment records

General Amount

$481

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-25

Latest reported date

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: 2005-07-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050705000617IGastroenterologyGATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity176103$0
99214Established patient office or other outpatient visit, 30-39 minutes11196$0
99213Established patient office or other outpatient visit, 20-29 minutes9586$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare9494$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope7571$0
View full utilization report →

Insurance plans in this area (ZIP 30809)

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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: 4486643434View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YGA
G A S T R O E N T E R O L O G YGA
G A S T R O E N T E R O L O G YGA
Nurse PractitionerGA
G A S T R O E N T E R O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC
Physician AssistantGA
Certified Registered Nurse Anesthetist (Crna)SC

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ADAM DAVID WALLER (M.D.)?
DR. ADAM DAVID WALLER (M.D.) — NPI 1275677411 — is the standard way to identify this listing.
Does CMS list DR. ADAM DAVID WALLER (M.D.) as active?
Yes — DR. ADAM DAVID WALLER (M.D.) is active in the NPI listing used on this page.
What healthcare role does DR. ADAM DAVID WALLER (M.D.) hold?
Scheduling teams often label DR. ADAM DAVID WALLER (M.D.) under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ADAM DAVID WALLER (M.D.) based?
DR. ADAM DAVID WALLER (M.D.) is tied to Evans, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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