Tammi M Waters, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

043663 Issued in CT

Practice address

1600 Olive Chapel Rd Ste 124
Apex, NC 27502-6766

Phone

(919) 727-1850

Fax

(919) 727-1851

NPI assigned

Jun 27, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2018 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• MHS Primary Care Inc

  dba Middlesex Health Concierge Medicine

  • Internal Medicine Physician
  • Essex, CT
  • NPI 1750276655

  Family Medicine

  NPD (past)
• Middlesex Hospital

  dba Middlesex Hospital Homecare and Hospice

  • Community Based Hospice Care Agency
  • Middletown, CT
  • NPI 1003873233

  Family Medicine

  NPD (past)
• Middlesex Hospital

  dba Middlesex Hospital dba Middlesex Hospital Physician Services

  • Family Nurse Practitioner
  • Middletown, CT
  • NPI 1972563138

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1255368023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 OLIVE CHAPEL RD STE 124",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026766",
            "telephone_number": "919-727-1850",
            "fax_number": "919-727-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 OLIVE CHAPEL RD STE 124",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026766",
            "telephone_number": "919-727-1850",
            "fax_number": "919-727-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "TAMMI",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "043663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001436634",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warrior Physical Therapy and Performance LLC
• Briana Marie Washington, LGSW
• Dana Washington
• Alexandra Washo, D.C.
• Lauren Wasserberger, M.A.CCC-SLP
• Amanda Jean Watkins, FNP
• We Care Pharmacy, LLC
• Jocelya Andrea Webb-Gordon, MS, BCBA
• Matthew Thomas Webb, PT, DPT, OCS
• Jenna Wegner, PT, DPT

• Family Medicine Physician in Apex, NC
• Providers in Apex, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.