Michael G Waters
MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS


Address: 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108
Phone: 2766291076

Michael G Waters (NPI# 1417915547, PAC ID# 2860417508) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1417915547
PAC ID by PECOS 2860417508
Professional Enrollment ID I20051011001022
Full Name Michael G Waters
Organization Legal Name MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS
Address 324 T B Stanley Hwy
Suite Bandc
Bassett
VA 24055-6108
Phone Number 2766291076
Gender M
Credential MD
Medical School MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1985
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 4385717552
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490075 SOVAH HEALTH DANVILLE

Other Locations

Address Phone Organization
324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108 2766291076 MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 87%
MIPS_EC_204_overall Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 83%

Organization Information

Organization Legal Name MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Rhonda Clark Nurse Practitioner Martinsville Henry County Coalition for Health and Wellness 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108
Julia P Hodnett Nurse Practitioner Martinsville Henry County Coalition for Health and Wellness 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108
Kwamba Ekwa Nkembe Family Medicine Martinsville Henry County Coalition for Health and Wellness 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108

Office Location

Street Address 324 T B STANLEY HWY
SUITE BANDC
City BASSETT
State VA
Zip 24055-6108

Physicians in the same location

Name Specialty Organization Address
Rhonda Clark Nurse Practitioner Martinsville Henry County Coalition for Health and Wellness 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108
Julia P Hodnett Nurse Practitioner Martinsville Henry County Coalition for Health and Wellness 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108
Kwamba Ekwa Nkembe Family Medicine Martinsville Henry County Coalition for Health and Wellness 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108

Physicians in the same zip code

Name Specialty Organization Address
Ronikka C Hannans Nurse Practitioner Martinsville Physician Practices LLC 5784 Virginia Ave, Bassett, VA 24055-3879
Melissa H Smith Nurse Practitioner Martinsville Physician Practices LLC 5784 Virginia Ave, Bassett, VA 24055-3879

Competitor

Search similar physicians

City BASSETT
Zip Code 24055
Specialty FAMILY MEDICINE
City + Specialty BASSETT + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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