Individual provider Active NPI

Aimee T. Waters, PAAA

  • Anesthesiologist Assistant
  • Marietta, GA
National Provider Identifier
1679560437
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
3726 Issued in GA
Practice address
2550 Windy Hill Rd SE
Suite 302
Marietta, GA 30067-8665
Phone
(678) 574-0943
Fax
(678) 574-0943
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 3726 GA Primary

Addresses

Primary practice location

2550 Windy Hill Rd SE
Suite 302
Marietta, GA 30067-8665

Mailing address

3155 N Point Pkwy
Attn: Credentialing Dept, Building F, Suite 100
Alpharetta, GA 30005
Phone (770) 645-9181

Other identifiers 1

IdentifierTypeStateIssuer
615447044AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050914000118 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557394277
I20080310000657 GA Practitioner - Anesthesiology Assistant 1557394277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Emory University School of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
North Perimeter Anesthesia LLC CurrentSince Mar 21, 2016 Accepting new patients
Mak Anesthesia Georgia, LLC CurrentSince Mar 2, 2019 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Mar 13, 2017 Accepting new patients
Fayette Community Anesthesia Past Accepting new patients
Ambulatory Anesthesia of Atlanta, P C Past Accepting new patients
Atlanta Surgery Center LTD Past Accepting new patients
Piedmont Anesthesia Associates, L.L.C Past Accepting new patients

Locations

3330 Preston Ridge Rd
Ste 200
Alpharetta, GA 30005
Phone (404) 255-1000

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1457 Scott Blvd
Decatur, GA 30030
Phone (404) 292-2500

10692 Medlock Bridge Rd
Ste 100A
Johns Creek, GA 30097
Phone (404) 446-2492

1635 Old Highway 41 NW
Ste 112328
Kennesaw, GA 30152
Phone (770) 732-3664

895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203

5669 Peachtree Dunwoody Rd
Ste 290
Sandy Springs, GA 30342
Phone (678) 399-2050

1100 Johnson Fy Rd NE
Ste 200
Sandy Springs, GA 30342
Phone (404) 257-1900

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1679560437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N POINT PKWY",
            "address_2": "ATTN: CREDENTIALING DEPT, BUILDING F, SUITE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-645-9181",
            "fax_number": "770-645-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE",
            "address_2": "SUITE 302",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "678-574-0943",
            "fax_number": "678-574-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "AIMEE",
        "middle_name": "T.",
        "credential": "PAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "3726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615447044A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.