HEATHER ELIZABETH WATERS DO
NPI 1700197977
Family Medicine in Lumberton, MS
About Heather Elizabeth Waters Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER ELIZABETH WATERS DO (NPI 1700197977) is an individual family medicine provider in Lumberton, Mississippi, licensed in Mississippi (21796) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Heather Elizabeth Waters Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Heather Waters reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lumberton, MS 39455
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: Southeast Mississippi Rural Health Initiative, Inc.
- 62 clinicians in this Medicare group
Milton, FL 32571
- Reassigned Medicare billing, Florida enrollment
- 81 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Heather Waters's NPI number?
The NPI number for Heather Waters is 1700197977. It was assigned to this individual provider in the NPPES registry on June 23, 2010. The provider is also known as Heather Elizabeth White Aultman.
Where is Heather Waters located?
Heather Waters practices at 596 W 11th Ave, Lumberton, MS 39455. The listed phone number is (601) 596-4215.
What is Heather Waters's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Heather Waters enrolled in Medicare?
Yes. Heather Waters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Heather Waters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Waters reassigns Medicare benefits to 2 organizations: Lumberton Family Health Center (Lumberton, MS) and Santa Rosa Hma Physician Management, LLC (Milton, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Waters accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Heather Waters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Heather Waters was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Heather Elizabeth Waters, DO · NPI 1700197977
Family Medicine physician in Lumberton, Mississippi. Individual provider, active in the CMS NPPES registry since June 23, 2010.
## Identity
- **NPI:** 1700197977 (Entity type: Individual)
- **Enumerated:** June 23, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 21796 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 596 W 11TH AVE, Lumberton, MS 39455-2350
- **Phone:** (601) 596-4215 · **Fax:** (601) 796-9437
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lumberton Family Health Center (NPI 1164499174, Lumberton, MS); Santa Rosa Hma Physician Management, LLC (NPI 1447365366, Milton, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** November 15, 2024
- **Other identifiers:** Other 21796; Medicaid 008504826 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1700197977) · Data from the CMS NPPES public registry.