MS. PHYLLIS WATTERS
NPI 1154190056
Prosthetic/Orthotic Supplier in Jonesboro, GA

Active since December 20, 2023
127 JONESBORO RD # 2002, JONESBORO, GA 30236(770) 630-9465 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Phyllis Watters NPPES

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

MS. PHYLLIS WATTERS (NPI 1154190056) is an individual prosthetic/orthotic supplier provider in Jonesboro, Georgia and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1154190056
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameMS. PHYLLIS WATTERS
Location Address127 JONESBORO RD # 2002Jonesboro, GA 30236-2468
Mailing AddressPo Box 871122Morrow, GA 30287-1122 · (770) 630-9465
Sole ProprietorYes
Enumeration DateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
NPI 1154190056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
127 JONESBORO RD # 2002, Jonesboro, GA 30236

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 Phyllis Watters's NPI number?

The NPI number for Phyllis Watters is 1154190056. It was assigned to this individual provider in the NPPES registry on December 20, 2023.

Where is Phyllis Watters located?

Phyllis Watters practices at 127 Jonesboro Rd # 2002, Jonesboro, GA 30236. The listed phone number is (770) 630-9465.

What is Phyllis Watters's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Phyllis Watters was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.