MR. VINCENT TIMOTHY WALDRON PA-C NPI 1578125522

NPI Information

  • NPI: 1578125522
  • Provider Name: MR. VINCENT TIMOTHY WALDRON, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 61 WHITCHER ST NE STE 3110
    MARIETTA, GA
    ZIP 30060
  • Phone: (770) 422-2326

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NPI Details

MR. Vincent Timothy Waldron, PA-C is a physician assistant in Marietta, GA with 6 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Vincent Timothy Waldron, PA-C NPI is 1578125522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

61 WHITCHER ST NE STE 3110
MARIETTA, GA
ZIP 30060-179
Phone: (770) 422-2326

The NPI 1578125522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)

The enumeration date for this NPI number is 6/30/2019 and was last updated on 6/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological Surgery10208GEORGIANo
2207T00000XNeurological SurgeryPA66276CALIFORNIANo
3363A00000XPhysician AssistantGEORGIANo
4363A00000XPhysician AssistantPA66276CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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