Nicola Natalie Watson Conduah, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN250366 Issued in GA

Practice address

2320 Atlanta Hwy Ste 105
Cumming, GA 30040-6339

Phone

(678) 860-8844

Fax

(770) 886-9908

NPI assigned

Oct 29, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Nicola Natalie Watson Conduah Professional name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Doctors Clinic LLCGroup PAC ID 2860620580, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• My Doctors Clinic LLC

  • Family Medicine Physician
  • Cumming, GA
  • NPI 1497183941
  Medicare reassignment Care Compare group NPD
• TLC of Georgia LLC

  • Family Nurse Practitioner
  • Jefferson, GA
  • NPI 1750677241
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1174167639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4232",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300234232",
            "telephone_number": "678-860-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 ATLANTA HWY STE 105",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406339",
            "telephone_number": "678-860-8844",
            "fax_number": "770-886-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON CONDUAH",
        "first_name": "NICOLA",
        "middle_name": "NATALIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN250366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLA",
            "last_name": "WATSON CONDUAH",
            "middle_name": "NATALIE",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly R. Waters-Rose, LPC
• Erin Eileen Waters, LPN
• Raegan Waters, OTR/L
• Amanda Brooke Watkins, OTD, OTR/L
• Cynthia Marie Watkins, LCSW
• Elisabeth Pezzano Watterson, OTR/L
• Watts Chiropractic Clinic P C
• Ramon Forrest Watts, D.C.
• Weston Thomas Waxweiler, MD
• Amber Way, MA, NCC, APC

• Family Nurse Practitioner in Cumming, GA
• Providers in Cumming, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.