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

Nicole A Waters

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1598406464

Nicole A Waters is a Physician Assistant in Atlanta, Georgia. Qualified in 2022, 4 years ago. Practices with Greater Tampa Bay Physician Specialists LLC, a 33-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3180 Mathieson Dr NE Unit 706
Atlanta, GA 30305-1868
Phone: (949) 355-5017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116808 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1598406464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing address3180 Mathieson Dr Ne Unit 706, Atlanta, GA 30305-1868

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Greater Tampa Bay Physician Specialists Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Atlanta