FRANKLIN W JR. WALLER (MD) – Family Medicine Physician, NPI 1497864607

FRANKLIN W JR. WALLER (MD) is a healthcare provider. based in Hattiesburg, Mississippi. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 15125 (MS). The NPI Number for FRANKLIN W JR. WALLER (MD) is 1497864607

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
FRANKLIN W JR. WALLER (MD)
NPI
1497864607
Phone
(601) 736-8282
Address
415 S 28TH AVE
Enumeration Date
30 August 2006
Last Update Date
23 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
6012646000
Graduation Year
1982 (44 years ago)
PAC ID
0446332563
Group Practice PAC ID
5193706794
Professional Enrollment ID
I20080129000359
Address ID
MS394017246HA415XXAVEX400
Telehealth
Yes
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

939 FAMILY PRACTICE in MS

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Provider Addresses for FRANKLIN W JR. WALLER (MD)

  • Hattiesburg Clinic, 415, South 28th Avenue, Innswood, Hattiesburg, Forrest County, Mississippi, 39401, United States

    HATTIESBURG, MS 394017246

    Phone: (601) 736-8282

    Fax: (601) 579-5240

    Type: Mailing

  • Broad Street, Colonial Heights, Columbia, Richland County, South Carolina, 29203, United States

    COLUMBIA, MS 394293037

    Phone: (601) 736-8282

    Fax: (601) 736-8333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,377.

Total Amount is formed as General ($1,377) + Research ($0) + Ownership ($0) = $1,377.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($212).

Total Amount

$1,377

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2008-01-29

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
I20080129000359IFamily PracticeMSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes440177$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month37771$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit154154$0
36415Insertion of needle into vein for collection of blood sample14382$0
80305Testing for presence of drug, read by direct observation13752$0
View full utilization report →

Insurance plans in this area (ZIP 39401)

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Provider's Procedures

FRANKLIN W JR. WALLER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMS83036Hemoglobin A1C level12085
FAMILY MEDICINEMS85610Blood test, clotting time6411
FAMILY MEDICINEMS90670Pneumococcal vaccine for injection into muscle2121

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: 5193706794View full group profile
NameSpecialtyState
-MS
A N E S T H E S I O L O G YMS
-MS
-MS
-MS
Nurse PractitionerMS
Gastroenterology, Internal MedicineMS
-MS
-MS
Certified Registered Nurse Anesthetist (Crna)MS

Reviews

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Frequently asked questions

What is the standard ID for FRANKLIN W JR. WALLER (MD) in the U.S.?
In the U.S., FRANKLIN W JR. WALLER (MD) is identified by NPI 1497864607.
Is FRANKLIN W JR. WALLER (MD)'s NPI status active today?
Active status means FRANKLIN W JR. WALLER (MD)'s NPI record is not deactivated in the public file.
What services align with FRANKLIN W JR. WALLER (MD)'s listing?
FRANKLIN W JR. WALLER (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to FRANKLIN W JR. WALLER (MD)?
FRANKLIN W JR. WALLER (MD) shows a connection to Hattiesburg, Mississippi in registry-derived data.
Why is information missing for FRANKLIN W JR. WALLER (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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