Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared Waters

Individual provider Physician Assistant · NPI 1023701927

Jared Waters is a Physician Assistant in Roanoke, Virginia. Graduated from University of Florida College of Medicine in 2023, 3 years ago. Practices with Intercept Youth Services Inc, a 4-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
3
Trained at
University of Florida College of Medicine
Licensed in
VA
In the registry since
2023
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Practice location Address checks out

5673 Airport Rd
Roanoke, VA 24012-1119
Phone: (540) 523-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5500 Staples Mill Rd, Henrico, VA 23228-5423 — (540) 523-8080

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009479 (VA)

Record details

NPI number1023701927
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 29, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing address3111 Grayland Ave, Richmond, VA 23221-3527

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Intercept Youth Services Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Roanoke