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DR. MICHAEL LEE WALLER MD
NPI 1881604767
Internal Medicine - Cardiovascular Disease in Cumming, GA

Active since August 09, 2006
950 SANDERS RD, CUMMING, GA 30041(770) 889-5030(770) 889-5030 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Lee Waller Md NPPES

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

DR. MICHAEL LEE WALLER MD (NPI 1881604767) is an individual cardiovascular disease provider in Cumming, Georgia, licensed in Georgia (54290) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1881604767
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MICHAEL LEE WALLERCredential: MD
Location Address950 SANDERS RDCumming, GA 30041-5960
Mailing Address950 Sanders RoadCumming, GA 30041-6183 · (770) 889-5030
Phone(770) 889-5030
Fax(770) 889-5030
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateJune 13, 2011
✔ NPI 1881604767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 54290
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
950 SANDERS RD, Cumming, GA 30041
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Other Identifiers 3

Medicaid938550931AGA
Medicare UPING44492
Medicare PIN06BDHMWGA

Other Providers at the Same Location NPPES 3

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

MRS. SARA W WALLACE NP-C
Nurse Practitioner
950 SANDERS RD
CUMMING, GA 30041
Forsyth County (678) 208-2446
PRERNA SATYANARAYANA M.D.
Internal Medicine
950 SANDERS RD
CUMMING, GA 30041
Forsyth County (770) 475-2377
JENNIFER DUDEK COOK MD
Internal Medicine
950 SANDERS RD
CUMMING, GA 30041
Forsyth County (770) 475-2377

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 Michael Waller's NPI number?

The NPI number for Michael Waller is 1881604767. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Michael Waller located?

Michael Waller practices at 950 Sanders Rd, Cumming, GA 30041. The listed phone number is (770) 889-5030.

What is Michael Waller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Michael Waller was last updated on June 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.