Dr. Nicole Poythress Waters, DO, PHD
Dr. Nicole Poythress Waters, DO, PHD is a Family Practice in Carrier Mills, Illinois. Qualified in 2019, 7 years ago. Practices with Christopher Greater Area Rural Health Planning Corporation, a 50-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 7
- Licensed in
- IL
- In the registry since
- 2019
What do these letters mean?
Practice location Address checks out
7211 US 45 SCarrier Mills, IL 62917-1305
Phone: (618) 294-8247
Fax: (618) 294-8247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036157809 (IL) |
|---|
Record details
| NPI number | 1407416308 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO , PHD |
| Sole proprietor | No |
| NPI enumerated | June 13, 2019 |
| Last updated in NPPES | February 6, 2026 |
| Certification date | February 6, 2026 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Christopher Greater Area Rural Health Planning Corporation — 50 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Carrier Mills
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Harrisburg Family Practice Ltd
7211 US Highway 45 S Ste C, Carrier Mills, IL 62917 · (618) 994-2321