J GREGORY WALLER PC
NPI 1295907848
Podiatrist in Blairsville, GA
About J Gregory Waller Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
J GREGORY WALLER PC (NPI 1295907848) is a healthcare organization registered as a podiatrist in Blairsville, Georgia and active in the NPI registry since March 2008. The organization lists Candy Beck, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
J Gregory Waller Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to J Gregory Waller PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 J Gregory Waller PC's NPI number?
The NPI number for J Gregory Waller PC is 1295907848. It was assigned to this organization in the NPPES registry on March 24, 2008.
Where is J Gregory Waller PC located?
J Gregory Waller PC is located at 602 Pat Haralson Drive, Blairsville, GA 30512. The listed phone number is (706) 745-6764.
What is J Gregory Waller PC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is J Gregory Waller PC enrolled in Medicare?
Yes. J Gregory Waller PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through J Gregory Waller PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to J Gregory Waller PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for J Gregory Waller PC was last updated on July 17, 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.
# J Gregory Waller Pc · NPI 1295907848
Podiatrist organization in Blairsville, Georgia. Organization record, active in the CMS NPPES registry since March 24, 2008.
## Identity
- **NPI:** 1295907848 (Entity type: Organization)
- **Enumerated:** March 24, 2008
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Candy Beck, MANAGER
## Practice location
- **Address:** 602 PAT HARALSON DRIVE, Blairsville, GA 30512
- **Phone:** (706) 745-6764
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2013
- **Other identifiers:** Medicare PIN 511G700727 (GA); Medicare NSC 5864600001 (GA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1295907848) · Data from the CMS NPPES public registry.