DR. DAVID LLOYD WALDBURG V MD
NPI 1720583974
Internal Medicine - Rheumatology in Carrollton, GA

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
905 DIXIE ST, CARROLLTON, GA 30117(770) 812-5003(770) 812-5832 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2023, Mar 29, 2018 (2 updates tracked since 2018).

About Dr. David Lloyd Waldburg V Md NPPES

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

DR. DAVID LLOYD WALDBURG V MD (NPI 1720583974) is an individual rheumatology provider in Carrollton, Georgia, licensed in Georgia (96204) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720583974
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. DAVID LLOYD WALDBURG VCredential: MD
Location Address905 DIXIE STCarrollton, GA 30117-4417
Mailing Address905 Dixie StCarrollton, GA 30117-4417 · (770) 812-5003
Fax(770) 812-5832
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2018
Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
NPI 1720583974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in GA · 96204
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
905 DIXIE ST, Carrollton, GA 30117

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. David Lloyd Waldburg V Md 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 ID5496010852
PECOS Enrollment IDI20230725000405
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.

Areas of Expertise CMS Part B claims 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
102 services58 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.
82 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
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.
35 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
905 DIXIE ST
CARROLLTON, GA 30117
Internal Medicine (Endocrinology, Diabetes & Metabolism)
905 DIXIE ST
CARROLLTON, GA 30117
Internal Medicine (Endocrinology, Diabetes & Metabolism)
905 DIXIE ST
CARROLLTON, GA 30117
Internal Medicine (Rheumatology)
905 DIXIE ST
CARROLLTON, GA 30117
Psychiatry & Neurology (Neurology)
905 DIXIE ST
CARROLLTON, GA 30117
Internal Medicine (Endocrinology, Diabetes & Metabolism)
905 DIXIE ST
CARROLLTON, GA 30117
Internal Medicine (Rheumatology)
905 DIXIE ST
CARROLLTON, GA 30117
Nurse Practitioner (Family)
905 DIXIE ST
CARROLLTON, GA 30117

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 David Waldburg's NPI number?

The NPI number for David Waldburg is 1720583974. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is David Waldburg located?

David Waldburg practices at 905 Dixie St, Carrollton, GA 30117. The listed phone number is (770) 812-5003.

What is David Waldburg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is David Waldburg enrolled in Medicare?

Yes. David Waldburg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Waldburg accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list David Waldburg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Waldburg affiliated with any hospitals?

According to CMS data, David Waldburg is affiliated with Tanner Medical Center - Carrollton and Tanner Medical Center Villa Rica.

When was this NPI record last updated?

The NPPES record for David Waldburg was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.