MELISSA WATERS (NPI# 1396197208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396197208 |
| Entity Type | Individual |
| Full Name | MELISSA WATERS |
| Credential | FNP-C |
| Practice Address |
1900 Tebeau St Waycross GA 31501-6357 |
| Mailing Address |
6123 Leslie Dr Patterson GA 31557-2305 |
| Practice Telephone | 9122833030 |
| Mailing Telephone | 9126140806 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN140780 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528544483 | Melissa Jane Waters | Dietitian, Registered | 457 Sonora Cir, Redlands, CA 92373-8509 | 2018-07-13 |
| 1730477845 | Melissa Katherine Waters | Registered Nurse | 214 Mid Pines Ct Apt 2d, Owings Mills, MD 21117-3165 | 2011-07-11 |
| 1033448592 | Melissa B. Waters | Behavioral Analyst | 1138 Alexander St, Houston, TX 77008-6635 | 2009-12-12 |
| 1366654758 | Melissa Ann Waters | Pediatrics | 7859 Walnut Hill Ln Ste 200, Dallas, TX 75230-5605 | 2007-05-06 |
| 1245858182 | Melissa Pearl Waters | Counselor | 145 Rochdale Dr S, Rochester Hills, MI 48309-2275 | 2020-07-08 |
| 1184278210 | Melissa Waters | Home Health Aide | 2820 W Charleston Blvd Ste 36, Las Vegas, NV 89102-1934 | 2019-07-26 |
| 1841705530 | Melissa Lenae Waters | Counselor | 1477 Lincoln Ave, San Rafael, CA 94901-2028 | 2017-12-05 |
| 1205377967 | Melissa Ann Waters | Physical Therapist | 7200 World Communications Dr, Omaha, NE 68122-4040 | 2017-03-14 |
| Street Address |
1900 TEBEAU ST |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-6357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235112913 | James H Bloodworth | Pathology | 1900 Tebeau St, Waycross, GA 31501 | 2005-11-28 |
| 1740893148 | Colleen Chloe Mcconnell | Physician Assistant | 1900 Tebeau St, Waycross, GA 31501-6357 | 2020-08-25 |
| 1720619554 | Tierra Carter | Nurse Practitioner | 1900 Tebeau St, Waycross, GA 31501-6357 | 2020-01-30 |
| 1336791425 | Jana Revels | Nurse Practitioner | 1900 Tebeau St, Waycross, GA 31501-6357 | 2019-07-10 |
| 1174188668 | Carly Zoe Swett | Physician Assistant | 1900 Tebeau St, Waycross, GA 31501-6357 | 2019-05-09 |
| 1902374911 | Georgia Infectious Disease Consultants | Internal Medicine | 1900 Tebeau St, Waycross, GA 31501-6357 | 2018-11-07 |
| 1851869150 | Stacy Heather Exum Edgar | Nurse Practitioner | 1900 Tebeau St, Waycross, GA 31501-6357 | 2018-11-05 |
| 1831665389 | Mikayla Brittney Freeman | Physician Assistant | 1900 Tebeau St, Emergency Department, Waycross, GA 31501 | 2018-10-22 |
| 1629544358 | Anna Marie Bogdanov | Physician Assistant | 1900 Tebeau St, Waycross, GA 31501 | 2018-10-20 |
| 1306368329 | Carmen Yolanda Jackson | Nurse Practitioner | 1900 Tebeau St, Waycross, GA 31501-6357 | 2017-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124649926 | Jessica Delores Johnson | Nurse Practitioner | 360 Ossie Davis Pkwy, Waycross, GA 31501-4566 | 2020-05-03 |
| 1164043055 | Shawana Mitchell Taylor | Nurse Practitioner | 1115 Porter St, Waycross, GA 31501-5640 | 2020-05-01 |
| 1700410644 | Emilie Ann King | Nurse Practitioner | 1707 Danora Dr, Waycross, GA 31501-4153 | 2020-03-01 |
| 1427609262 | Rilla Margaret Highsmith | Nurse Practitioner | 5675 Wooddell Dr, Waycross, GA 31503-4482 | 2019-09-23 |
| 1174003917 | Heather Franklin | Nurse Practitioner | 1815 Rhoda St, Waycross, GA 31503-1727 | 2018-08-21 |
| 1992292874 | Yotta Lasheka Burton | Nurse Practitioner | 1100 Atlantic Ave, Waycross, GA 31501-3255 | 2018-04-17 |
| 1548760622 | Utrena Donsha Grant | Nurse Practitioner | 1707 Saint Marys Dr, Waycross, GA 31501-5207 | 2018-02-15 |
| 1760939441 | Sara S Knox | Nurse Practitioner | 1712 Vernon St, Waycross, GA 31501-7358 | 2016-09-09 |
| 1871047399 | Lori Henderson | Nurse Practitioner | 624 Tebeau St, Waycross, GA 31501-4728 | 2016-08-12 |
| 1033508791 | Jacobs Clinic, Inc. | Nurse Practitioner | 403 Lister St, A, Waycross, GA 31501-5225 | 2015-01-20 |
| Find all providers in WAYCROSS | ||||
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| 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.