MS. EULANDA LARA WALLER OTR/L
NPI 1073759619
Occupational Therapist in Macon, GA
About Ms. Eulanda Lara Waller Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. EULANDA LARA WALLER OTR/L (NPI 1073759619) is an individual occupational therapist in Macon, Georgia, licensed in Georgia (OT003394) and active in the NPI registry since January 2009.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Eulanda Lara Waller Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Eulanda Waller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Macon, GA 31217
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACON, GA 31217
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eulanda Waller's NPI number?
The NPI number for Eulanda Waller is 1073759619. It was assigned to this individual provider in the NPPES registry on January 4, 2009.
Where is Eulanda Waller located?
Eulanda Waller practices at 315 Christina Ct, Macon, GA 31217. The listed phone number is (478) 318-2313.
What is Eulanda Waller's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Eulanda Waller enrolled in Medicare?
Yes. Eulanda Waller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Eulanda Waller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eulanda Waller reassigns Medicare benefits to Waller Occupational Therapy And Consulting, LLC (Macon, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eulanda Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eulanda Waller was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.