NPIMap

Individual provider Active NPI

Darren Keith Waters, M.D.

  • Emergency Medicine Physician
  • Mobile, AL
National Provider Identifier
1568419661
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
24508 Issued in AL
Practice address
2350 Schillinger Road South
Suite a
Mobile, AL 36695-4177
Phone
(251) 633-0123
NPI assigned
May 27, 2006
Last updated
Jun 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 24508 AL Primary

Addresses

Primary practice location

2350 Schillinger Road South
Suite a
Mobile, AL 36695-4177

Mailing address

PO Box 7627
Mobile, AL 36670-0627
Phone (251) 633-7211

Other identifiers 1

IdentifierTypeStateIssuer
009979840559400060MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081017000005 AL Practitioner - Emergency Medicine 9830293406 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Alabama College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gmuc of SaralandGroup PAC ID 8820211436, 39 clinicians
Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians
Gmuc of Springhill LLCGroup PAC ID 6901091156, 34 clinicians

Practice addresses (Care Compare)

1114 Shelton Beach Rd
Saraland, AL 36571-3016
Phone (251) 633-0123

2350 Schillinger Rd S
Suite a
Mobile, AL 36695-4177
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608-1912
Phone (251) 633-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24508ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care 59, PC CurrentSince Jul 1, 2023 Accepting new patients
Gmuc of Citronelle LLC CurrentSince Mar 4, 2012 Accepting new patients
Greater Mobile Urgent Care CurrentSince Nov 1, 2008 Accepting new patients
Gmuc of Saraland CurrentSince Apr 1, 2014 Accepting new patients
South Alabama Family Care, LLC CurrentSince Jun 1, 2024 Accepting new patients
Greater Mobile Urgent Care CurrentSince Nov 1, 2008 Accepting new patients
Gmuc of Springhill LLC CurrentSince Nov 1, 2010 Accepting new patients
Rockcastle County Hospital, Inc. Past Accepting new patients
Baldwin Emergency Physicians, P.C.. Emergency Medicine Past Accepting new patients
Acute Care Specialists, Inc. Emergency Medicine Past Accepting new patients
Alabama CVS Pharmacy LLC PastSince Nov 1, 2010 Accepting new patients

Locations

108C McMeans Ave
Bay Minette, AL 36507
Phone (251) 491-0059

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

10067 Grand Bay Wilmer Rd S
#100
Grand Bay, AL 36541
Phone (251) 810-9525

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Alabama Medical Clinic, LLCGrand Bay, AL, CCN 013966 Rural health clinic 5% Or Greater Direct Ownership Interest (20%) Jul 1, 2011
Urgent Care 59 PCBay Minette, AL, CCN 018983 Rural health clinic 5% Or Greater Direct Ownership Interest (20%)
Corporate Officer		 Feb 22, 2023
Feb 22, 2023
South Alabama Family Care, LLCGrand Bay, AL, CCN 018984 Rural health clinic 5% Or Greater Direct Ownership Interest (28.33%)
Corporate Officer		 Sep 1, 2024
Sep 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1568419661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7627",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366700627",
            "telephone_number": "251-633-7211",
            "fax_number": "251-410-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SCHILLINGER ROAD SOUTH",
            "address_2": "SUITE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954177",
            "telephone_number": "251-633-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "DARREN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "24508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009979840559400060",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.