WILLIAM C WATERS IV


Address: 705 Dixie St, Carrollton, GA 30117-3818
Phone: 7708321488

WILLIAM C WATERS IV (NPI# 1215972278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215972278
Entity Type Individual
Full Name WILLIAM C WATERS IV
Credential M.D.
Practice Address 705 Dixie St
Carrollton
GA 30117-3818
Mailing Address Po Box 1845
Carrollton
GA 30112-0035
Practice Telephone 7708321488
Mailing Telephone 7708321488
Enumeration Date 2006-06-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
029969 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA WELLCARE 306327 01
GA AMERIGROUP 10049622 01

Other Providers WILLIAM WATERS

NPI Name Taxonomy Address Enumeration
1316360043 William Waters Pediatrics 981 Townline Rd, Charlevoix, MI 49720-8970 2014-01-31
1609193846 William Emerick Waters Dentist 3865 Rocky River Dr., #7, Cleveland, OH 44111 2010-04-28
1043436181 William L. Waters Physical Therapist 247 Fraxinella St, Encinitas, CA 92024-3319 2007-04-17
1780795807 William David Waters Specialist 3670 W Park Rd, Cleveland, OH 44111-5719 2006-08-31
1073623161 William H Waters Dentist 127 Dodge St, Beverly, MA 01915-1830 2006-08-30
1235503178 William Waters Counselor 1500 E 10th St, Atlantic, IA 50022-1935 2015-11-16
1255610234 William Waters Counselor 115 Rockwood Ln, Hazard, KY 41701-9415 2011-08-09
1093014540 William Robert Waters Counselor 9330 59th Ave Sw, Lakewood, WA 98499-2858 2011-03-23
1235312984 William Barry Waters Chiropractor 1602 N 9th Ave, Pensacola, FL 32503-5522 2007-12-17
1053346908 William Frederick Waters Psychologist 9001 Summa Ave, Baton Rouge, LA 70809-3726 2006-07-11

Office Location

Street Address 705 DIXIE ST
City CARROLLTON
State GA
Zip Code 30117-3818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407848799 Lawrence Brett Carter Pharmacist 705 Dixie St, Carrollton, GA 30117-3818 2005-08-22
1760007322 Crystal Renee Grayson Nurse Anesthetist, Certified Registered 705 Dixie St, Carrollton, GA 30117-3818 2020-06-10
1962025361 Amanda Hasty Mcentyre Dietitian, Registered 705 Dixie St, Carrollton, GA 30117-3818 2020-05-20
1265055669 Purdy Jackson Dietitian, Registered 705 Dixie St, Carrollton, GA 30117-3818 2020-05-20
1528681921 Amanda Phillips Kranz Dietitian, Registered 705 Dixie St, Carrollton, GA 30117-3818 2020-05-20
1699396630 Katherine Victoria White Nurse Practitioner 705 Dixie St, Carrollton, GA 30117-3818 2020-04-30
1144866047 Jennifer Tiffany Jiles Nurse Practitioner 705 Dixie St, Carrollton, GA 30117-3818 2019-11-26
1750934733 Tiffany Landry Health Educator 705 Dixie St, Carrollton, GA 30117-3818 2019-07-19
1104479195 Kim Rowell Health Educator 705 Dixie St, Carrollton, GA 30117-3818 2019-07-19
1104478916 Brandon Gabe Graves Nurse Anesthetist, Certified Registered 705 Dixie St, Carrollton, GA 30117-3818 2019-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679199392 Southern Rad Onc LLC Radiology 809 South Park Street, Carrollton, GA 30117 2020-06-18
1093361404 Eyedeal Eyecare LLC Optometrist 1735 S Us 27, Carrollton, GA 30117 2019-08-12
1710412473 Janis James Optometrist 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 2017-05-01
1568881951 Omar Hajmurad Anesthesiology 812 S Park St Ste 5, Carrollton, GA 30117 2014-04-14
1134550353 Goodbodys Minor Med Express Care Nurse Practitioner 1670 South Park St., Carrollton, GA 30117 2013-12-13
1306187570 Myriam C Vela-ortiz Internal Medicine 157 Clinic Ave Ste 203, Carrollton, GA 30117 2013-03-12
1891030201 Air Evac Ems, Inc. Ambulance 827 Old Bremen Rd, Carrollton, GA 30117 2012-12-11
1952682486 Angelic Wings Transport, Inc. Non-emergency Medical Transport (VAN) 362 B Columbia Drive, Carrollton, GA 30117 2011-08-29
1073819256 Atlanta Prosthetics & Orthotics, Inc. Durable Medical Equipment & Medical Supplies 812 South Park Street, Suite 2, Carrollton, GA 30117 2011-02-04
1255640348 Amy Gilbert Counselor 515 Tanner St, Carrollton, GA 30117 2010-10-06
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639104748 Jeffrey S. Reid Internal Medicine 100 Professional Park, Suite 204, Carrollton, GA 30117-3874 2006-07-11
1356334668 Morohunfolu E Akinnusi Internal Medicine 705 Dixie St, Carrollton, GA 30117-3818 2005-08-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255812731 Pierre David Villain Internal Medicine 9192 Dover St, Lithia Springs, GA 30122-3813 2018-08-23
1447790514 Burn Critical Care Associates, LLC Internal Medicine 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 2017-03-08
1093060303 Jrmdinc Internal Medicine 4300 Southern Pines Dr, Evans, GA 30809-4287 2012-07-23
1275896896 Nicholas M. Maurice Internal Medicine 1670 Clairmont Rd # 12c-189, Decatur, GA 30033-4004 2012-06-19
1457626913 Seema S Tekwani Internal Medicine 49 Jesse Hill Jr Dr Se # 2c001, Division of Pulmonary and Critical Care Medicine, Atlanta, GA 30303-3049 2012-03-16
1033381900 Andre Lavar Holder Internal Medicine 80 Jesse Hill Jr Dr Se Rm 2d012, Atlanta, GA 30303-3031 2008-03-31
1164607974 David Emerson Green Internal Medicine 1670 Clairmont Rd, (rm 12c 193-mail Stop 151p), Atlanta Va Medical Center / Emory University, Decatur, GA 30033 2007-12-31
1538380464 Ram Mohan Subramanian Internal Medicine 1365 Clifton Rd Ne Bldg B-1, Atlanta, GA 30322-1059 2007-05-01
1639259666 Juan Carlos Armstrong Internal Medicine 4550 Cobb Parkway North Nw Ste 210, Acworth, GA 30101-4182 2006-10-16
1558374041 John Wesley King, Jr. Internal Medicine 641 W Thomas St, Milledgeville, GA 31061-2337 2006-08-14
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Competitor

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City CARROLLTON
Zip Code 30117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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