BLUE WATERS WELLNESS LLC
NPI 1134737778
Chiropractor in Douglas, GA

Active since July 20, 2020
403 WARD ST W, DOUGLAS, GA 31533(912) 260-0005 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blue Waters Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WATERS WELLNESS LLC (NPI 1134737778) is a healthcare organization registered as a chiropractor in Douglas, Georgia and active in the NPI registry since July 2020. The organization lists Brian K Waters, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1134737778
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBLUE WATERS WELLNESS LLC
Location Address403 WARD ST WDouglas, GA 31533-3505
Mailing Address6257 Old Axson RdDouglas, GA 31535-3429 · (912) 314-3023
Organization SubpartNo
Authorized OfficialBrian K WatersChiropractor · (912) 314-3023
Enumeration DateJuly 20, 2020
NPPES CertifiedJuly 20, 2020
NPI 1134737778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
403 WARD ST W, Douglas, GA 31533

Other Names 1

Doing Business AsBlue Waters Wellness Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
403 WARD ST W
DOUGLAS, GA 31533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Waters Wellness LLC's NPI number?

The NPI number for Blue Waters Wellness LLC is 1134737778. It was assigned to this organization in the NPPES registry on July 20, 2020.

Where is Blue Waters Wellness LLC located?

Blue Waters Wellness LLC is located at 403 Ward St W, Douglas, GA 31533. The listed phone number is (912) 260-0005.

What is Blue Waters Wellness LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Blue Waters Wellness LLC was last updated on July 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.