Conyers Walk in Clinic

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

206177 Issued in GA

Legal business name

CONYERS WALK IN CLINIC

Practice address

1804 Over Lake Dr SE
Conyers, GA 30013-1788

Phone

(770) 679-9935

Fax

(770) 679-9938

NPI assigned

Jul 29, 2013

Organization subpart

No

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

Authorized official

Name

Danielle Nicole Waters, FNPNPI 1306986427

Title

Owner/Nurse Practitioner

Phone

(770) 679-9935

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle Waters, NP

  • Family Nurse Practitioner
  • Conyers, GA
  • NPI 1306986427
  NPD Authorized official
• Laura Renee Pinkney, NP-C

  • Family Nurse Practitioner
  • Conyers, GA
  • NPI 1134648751
  NPD (past)

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1326480666",
    "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",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131788",
            "telephone_number": "770-679-9935",
            "fax_number": "770-679-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONYERS WALK IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "770-679-9935",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "206177",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN206177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306986427",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conyers Internal Medicine LLC
• Conyers Medical Clinic, PC
• Conyers Pediatrics, PC
• Conyers Psychiatry LLC
• Conyers Smiles Dentistry, PC
• Brittany Cook, CRNP
• Dionne Cooley
• Felicia Cecile Cooper, LPC
• Jessica Lyn Cooper, M.D.
• Taylor Copeland, RBT

• Urgent Care Clinic/Center in Conyers, GA
• Providers in Conyers, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.