Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tanner Cole Waterman, PA-C

Individual provider Physician Assistant · NPI 1871233932

Tanner Cole Waterman, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2024, 2 years ago. Practices with Jacksonville Orthopaedic Institute Inc, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1577 Roberts Dr Ste 225, Jacksonville Beach, FL 32250-3265 — (904) 241-1204

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118928 (FL)

Record details

NPI number1871233932
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Jacksonville Orthopaedic Institute Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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