AVERY WATERS MA, CCC-SLP
NPI 1316786247
Speech-Language Pathologist in Lawrenceville, GA

Q: What is Avery Waters's NPI number?

The NPI number for Avery Waters is 1316786247. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Q: What is Avery Waters's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Avery Waters was last updated on May 21, 2024. 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.

Active since May 21, 2024

545 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046(678) 377-2833 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Avery Waters Ma, Ccc-slp NPPES

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

AVERY WATERS MA, CCC-SLP (NPI 1316786247) is an individual speech-language pathologist provider in Lawrenceville, Georgia, licensed in Georgia (SLP013047) and active in the NPI registry since May 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1316786247

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameAVERY WATERSCredential: MA, CCC-SLP

Location Address545 OLD NORCROSS RDLawrenceville, GA 30046-3389

Mailing Address545 Old Norcross RdLawrenceville, GA 30046-3389 · (912) 312-5692

Phone(678) 377-2833

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 21, 2024

NPPES CertifiedMay 21, 2024

✔ NPI 1316786247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in GA · SLP013047

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

545 OLD NORCROSS RD, Lawrenceville, GA 30046

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avery Waters Ma, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072084714

PECOS Enrollment IDI20260603004607

Other Providers at the Same Location NPPES 20

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

ANNA WICKS

Occupational Therapist (Pediatrics)

545 OLD NORCROSS RD, SUITE 100
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 377-2833

KAMILLE RODRIGUEZ-OLIVO MS, OTR/L

Occupational Therapist

545 OLD NORCROSS RD, SUITE 100
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 377-2833

MRS. MARCIA LEE ESSEN P.T.

Physical Therapist

545 OLD NORCROSS RD, SUITE 100
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 377-2833

CARRIE LATHAM MCD, CCC-SLP

Speech-Language Pathologist

545 OLD NORCROSS RD, SUITE 100
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 377-2833

JENNIFER LYNN DRAKE OTR/L

Occupational Therapist

545 OLD NORCROSS RD, SUITE 100
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 377-2833

KATHERINE BONAS M.ED., CCC-SLP

Speech-Language Pathologist

545 OLD NORCROSS RD, SUITE 100
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 377-2833

SYEDA AHMED

Speech-Language Pathologist

545 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 377-2833

JANET TACKETT OT

Occupational Therapist

545 OLD NORCROSS RD, SUITE 100
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 377-2833

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 Avery Waters's NPI number?

The NPI number for Avery Waters is 1316786247. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Avery Waters located?

Avery Waters practices at 545 Old Norcross Rd, Lawrenceville, GA 30046. The listed phone number is (678) 377-2833.

What is Avery Waters's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Avery Waters enrolled in Medicare?

Yes. Avery Waters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Avery Waters was last updated on May 21, 2024. 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.