Individual Healthcare Provider
Jeffrey Thomas Waltz, MD
Provider's NPPES record last updated: January 11, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104275528
- Primary Specialty
- Radiology — Diagnostic Radiology
- Practice Location
- Gainesville, Georgia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 6:46 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Radiology
Diagnostic Radiology
Allopathic & Osteopathic Physicians
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Taxonomy code 2085R0202X
Provider-Reported License Information
- Radiology (Georgia)
- 94945
- Radiology (South Carolina)
- 39669
- Radiology (North Carolina)
- 2021-02770
- Radiology (South Carolina)
- LL39669
- Radiology (Virginia)
- 0101273384
Practice Locations
Practice Location
743 Spring St Ne
Gainesville, Georgia 30501-3715
Phone: (770) 219-9000
Additional Practice Location
171 Ashley Ave
Charleston, South Carolina 29425-4444
Phone: (843) 792-6200
Additional Practice Location
1331 N Elm St Ste 200
Greensboro, North Carolina 27401-6304
Phone: (336) 274-6682
Fax: (336) 274-8097
Additional Practice Location
1210 W Faris Rd
Greenville, South Carolina 29605-4444
Phone: (864) 522-1800
Additional Practice Location
2300 Opitz Blvd
Woodbridge, Virginia 22191-3311
Phone: (703) 523-0611
Additional Practice Location
4212 N 16th St
Phoenix, Arizona 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1619
Record Information
- Enumeration Date
- June 7, 2016
- Provider's NPPES Record Last Updated
- January 11, 2026
- Certification Date
- January 11, 2026
- NPISignal NPPES Dataset
- August 2026
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