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DR. KATHLEEN MARIE WATERS M.D.
NPI 1578096590
Emergency Medicine - Pediatric Emergency Medicine in Atlanta, GA

Active since April 06, 2017PECOS Enrolled
49 JESSE HILL JR DR SE, 2ND FLOOR, ATLANTA, GA 30303(404) 778-1440(404) 778-1401 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Feb 7, 2022 (2 updates tracked since 2022).

About Dr. Kathleen Marie Waters M.d. NPPES

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

DR. KATHLEEN MARIE WATERS M.D. (NPI 1578096590) is an individual pediatric emergency medicine provider in Atlanta, Georgia, licensed in Georgia (86639) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578096590
Entity TypeIndividualFemale
Primary Taxonomy207PP0204X
Provider Legal NameDR. KATHLEEN MARIE WATERSCredential: M.D.
Location Address49 JESSE HILL JR DR SE, 2ND FLOORAtlanta, GA 30303-3049
Mailing Address49 Jesse Hill Jr Dr Se, 2nd FloorAtlanta, GA 30303-3049 · (404) 778-1440 · Fax (404) 778-1401
Phone(404) 778-1440
Fax(404) 778-1401
Sole ProprietorNo
Enumeration DateApril 6, 2017
Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1578096590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in GA · 86639
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
49 JESSE HILL JR DR SE, Atlanta, GA 30303
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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)

Dr. Kathleen Marie Waters M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NICHOLAS AUSTIN MD
Internal Medicine
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
CAMERON R MARTIN PA-C
Physician Assistant
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-4473
JOO YOUNG JUNG
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
SUMAIYA ALAM MD
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
SHRUTI GUPTA MD
Internal Medicine (Hematology & Oncology)
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
NANDINI AVULA
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
WASEF NIJIM
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
CHANDRIKA SANAPALA DO
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777

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 Kathleen Waters's NPI number?

The NPI number for Kathleen Waters is 1578096590. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Kathleen Waters located?

Kathleen Waters practices at 49 Jesse Hill Jr Dr SE 2nd Floor, Atlanta, GA 30303. The listed phone number is (404) 778-1440.

What is Kathleen Waters's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Kathleen Waters enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kathleen Waters was last updated on August 10, 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.