Kaci Waller, C-AA
NPI 1972219442ActiveIndividual· Anesthesiologist Assistant· Marietta, GA
Anesthesiologist Assistant (C-AA) with Ams Southeast LLC, practicing in Marietta, Georgia. Medicare paid $7,495 for services to 90 patients in 2024. Lists Colquitt Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1972219442 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | C-AA |
| Sole proprietor | No |
| NPI issued | Jan 27, 2023 |
| Last updated in NPPES | Jan 27, 2023 |
| Certified by provider | Jan 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 96 across 34 procedure codes |
| Paid by Medicare | $7,495 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Ams Southeast LLCStatesboro, GA · 86 clinicians
Hospital affiliation
- Colquitt Regional Medical CenterMoultrie, GA
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