Danielle Waters, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN206177 Issued in GA

Practice address

1804 Over Lake Dr SE Ste a
Conyers, GA 30013-1788

Phone

(770) 679-9935

Fax

(770) 679-9938

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Conyers Walk in Clinic

  • Urgent Care Clinic/Center
  • Conyers, GA
  • NPI 1326480666

  Family

  NPD Authorized official
• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1306986427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 OVER LAKE DR SE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131788",
            "telephone_number": "770-679-9935",
            "fax_number": "770-679-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 OVER LAKE DR SE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131788",
            "telephone_number": "770-679-9935",
            "fax_number": "770-679-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN206177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan M Wandurraga, N.P.
• Donnie Ray Washington
• Jelani Tenoa Washington Sr., D.D.S.
• Syed Wasim, MD
• David Jeffrey Wasserman, O.D.
• Keneshia Waters
• Marcia Watson, RNC
• Nakia Erin Watson, RD
• Stephanie Nguyen Watson, DO
• Tyrik Devon Weaver, BACHELORS

• Family Nurse Practitioner in Conyers, GA
• Providers in Conyers, 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 Oct 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.