DR. WARREN STUART THEIS M.D.
NPI 1588658702
General Practice in Waycross, GA

Q: What is Warren Theis's NPI number?

The NPI number for Warren Theis is 1588658702. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Q: What is Warren Theis's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Warren Theis was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment

1405 ALICE ST, WAYCROSS, GA 31501(912) 285-8822(912) 285-8898 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Warren Stuart Theis M.d. NPPES

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

DR. WARREN STUART THEIS M.D. (NPI 1588658702) is an individual general practice provider in Waycross, Georgia, licensed in Georgia (055345) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Satilla Health, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1588658702

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. WARREN STUART THEISCredential: M.D.

Location Address1405 ALICE STWaycross, GA 31501-4528

Mailing Address1405 Alice StWaycross, GA 31501-4528 · (912) 285-8822 · Fax (912) 285-8898

Phone(912) 285-8822

Fax(912) 285-8898

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateSeptember 2, 2005

Last NPPES UpdateJune 3, 2009

✔ NPI 1588658702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in GA · 055345✔ Licensed in VA · 0101237160✔ Licensed in CA · A84102✔ Licensed in FL · ME96329

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1405 ALICE ST, Waycross, GA 31501

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Other Identifiers 3

Medicare PIN08BBRLRGA

Medicaid67269005AGA

Medicare UPINI21612GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Warren Stuart Theis M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274598479

PECOS Enrollment IDI20041130000505

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Warren Theis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Care Inc

Same address

Primary Care

1405 ALICE ST
Waycross, GA 31501

Reassigned Medicare billing, Georgia enrollment
2 clinicians in this Medicare group

NPI 1538367149 (912) 285-8822

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

124 services34 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

93 services33 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

36 services28 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Satilla Health

Acute Care Hospitals · Waycross, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110003

Location1900 Tebeau StreetWaycross, GA 31501 · Ware County

Emergency services

Wayne Memorial Hospital

Acute Care Hospitals · Jesup, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110124

Location865 South First StreetJesup, GA 31545 · Wayne County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$21.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$119.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MEDFAST 2

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