David Barton Waters, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0000021755 Issued in TN

Practice address

250 Boswell St
Lexington, TN 38351-1566

Phone

(731) 968-2006

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, NC2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3c4a889f-c0c4-4f50-90d1-60f6a5ad9e7d/
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
• FHIR API: https://fhir-myrecord.cerner.com/r4/9d9ce2ac-65e8-4488-a0f0-ba102e060a58/
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000

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.

• Henry County Medical Center

  • Hospitalist Physician
  • Paris, TN
  • NPI 1073765475
  Medicare reassignment NPD
• Albemarle Physician Services - Sentara, Inc

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1942443130

  NC

  Medicare reassignment NPD
• Vohra Post Acute Care Physicians of the East, PA

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1063848968

  TN

  Medicare reassignment NPD
• Henry County Medical Center

  • Rural Health Clinic/Center
  • Paris, TN
  • NPI 1588275317
  NPD
• Albemarle Physician Services - Sentara, Inc

  • Urgent Care Clinic/Center
  • Kitty Hawk, NC
  • NPI 1306202627
  NPD
• Albemarle Physician Services- Sentara, Inc.

  • Critical Care Medicine (Anesthesiology) Physician
  • Elizabeth City, NC
  • NPI 1851660260
  NPD
• Roane Medical Center

  • Hospitalist Physician
  • Harriman, TN
  • NPI 1104023704
  NPD (past)
• Tennessee Surgical Specialists, PC

  • Surgery Physician
  • Knoxville, TN
  • NPI 1093877557
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972572196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BOSWELL ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511566",
            "telephone_number": "731-968-2006",
            "fax_number": "731-967-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BOSWELL ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511566",
            "telephone_number": "731-968-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Kelley Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382425820",
            "country_code": "US",
            "telephone_number": "731-644-2271",
            "fax_number": "731-644-3980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1504 N Thornton Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307208394",
            "country_code": "US",
            "telephone_number": "706-275-9000",
            "fax_number": "706-226-6642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Kelley Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382425820",
            "country_code": "US",
            "telephone_number": "731-644-2271",
            "fax_number": "731-644-3980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Benwood Ave",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "TN",
            "postal_code": "38351",
            "country_code": "US",
            "telephone_number": "731-968-6059",
            "fax_number": "731-968-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "DAVID",
        "middle_name": "BARTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2015-01718",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD0000021755",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000021755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Rachel Tyler Walker, FNP-C
• Charleston Bailee Wallace, FNP
• Alan Davis Weatherford, PA-C
• Megan Weatherford, PHARM. D.
• Wild Clarity Counseling
• Ida M Williams
• Lana Williams, BSW

• Family Medicine Physician in Lexington, TN
• Providers in Lexington, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.