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KEEGAN WALLER
NPI 1265318653
Nurse Practitioner - Family in Atlanta, GA

Active since August 12, 2025
3280 HOWELL MILL RD NW STE T100, ATLANTA, GA 30327(404) 355-3200 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2026, Aug 12, 2025 (2 updates tracked since 2025).

About Keegan Waller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEEGAN WALLER (NPI 1265318653) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN304593) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1265318653
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEEGAN WALLER
Location Address3280 HOWELL MILL RD NW STE T100Atlanta, GA 30327-4122
Mailing Address3280 Howell Mill Rd Nw Ste T100Atlanta, GA 30327-4122
Phone(404) 355-3200
Sole ProprietorNo
Enumeration DateAugust 12, 2025
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1265318653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN304593
3280 HOWELL MILL RD NW STE T100, Atlanta, GA 30327
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER L CANTRELL CRNA
Nurse Anesthetist, Certified Registered
3280 HOWELL MILL RD NW STE T100
ATLANTA, GA 30327
Fulton County (404) 355-3200
MAX LLOYD GOLDMAN MD
Internal Medicine (Gastroenterology)
3280 HOWELL MILL RD NW STE T100
ATLANTA, GA 30327
Fulton County (404) 355-3200
TAMARA HOLLY NP
Nurse Practitioner (Family)
3280 HOWELL MILL RD NW STE T100
ATLANTA, GA 30327
Fulton County (404) 633-3543
WILLIAM TUNG
Internal Medicine (Gastroenterology)
3280 HOWELL MILL RD NW STE T100
ATLANTA, GA 30327
Fulton County (404) 603-3543
DIGESTIVE HEALTHCARE OF GA, P.C.
Internal Medicine (Gastroenterology)
3280 HOWELL MILL RD NW STE T100
ATLANTA, GA 30327
Fulton County (404) 603-3543
DR. STEVEN CHANG MD
Internal Medicine (Gastroenterology)
3280 HOWELL MILL RD NW STE T100
ATLANTA, GA 30327
Fulton County (404) 355-3200
AMBER NIXON
Nurse Practitioner (Family)
3280 HOWELL MILL RD NW STE T100
ATLANTA, GA 30327
Fulton County (404) 355-3200

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 Keegan Waller's NPI number?

The NPI number for Keegan Waller is 1265318653. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Keegan Waller located?

Keegan Waller practices at 3280 Howell Mill Rd NW Ste T100, Atlanta, GA 30327. The listed phone number is (404) 355-3200.

What is Keegan Waller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Keegan Waller was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.