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

MS. Carrie Lee Waters, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1285789610

MS. Carrie Lee Waters, PHYSICIANASSISTANT is a Physician Assistant in Wilmington, North Carolina. Qualified in 2004, 22 years ago. Practices with Wilmington Health PLLC, a 400-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
22
Licensed in
NC
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1124 Gallery Park Ln
Wilmington, NC 28412-1142
Phone: (910) 617-6705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5429 Wrightsville Ave, Wilmington, NC 28403-6513 — (910) 792-1001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 104038 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 104038 (NC)

Record details

NPI number1285789610
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Wilmington Health Pllc — 400 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

Other providers in Wilmington