1. Home
  2. Directory
  3. Florida
  4. Jacksonville Beach
  5. Physician Assistant
  6. NPI Profile

TANNER COLE WATERMAN PA-C
NPI 1871233932
Physician Assistant in Jacksonville Beach, FL

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment
1577 ROBERTS DR STE 225, JACKSONVILLE BEACH, FL 32250(904) 241-1204(904) 241-7331 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2026, Jul 1, 2024 (2 updates tracked since 2024).

About Tanner Cole Waterman Pa-c NPPES

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

TANNER COLE WATERMAN PA-C (NPI 1871233932) is an individual physician assistant in Jacksonville Beach, Florida, licensed in Florida (PA9118928) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center Beaches, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871233932
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTANNER COLE WATERMANCredential: PA-C
Location Address1577 ROBERTS DR STE 225Jacksonville Beach, FL 32250-3265
Mailing AddressPo Box 117345Atlanta, GA 30368-7345 · (904) 346-3465 · Fax (904) 858-6489
Phone(904) 241-1204
Fax(904) 241-7331
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 29, 2022
Last NPPES UpdateJune 6, 20262 updates tracked since enumeration
NPPES CertifiedJune 6, 2026
✔ NPI 1871233932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9118928
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1577 ROBERTS DR STE 225, Jacksonville Beach, FL 32250
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanner Cole Waterman Pa-c 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.

PECOS PAC ID2668917956
PECOS Enrollment IDI20240710005289
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
69 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
26 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32250 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 3

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

MILTON JOHN VONTHRON M.D.
Orthopaedic Surgery
1577 ROBERTS DR STE 225, CREDENTIALING DEPARTMENT
JACKSONVILLE BEACH, FL 32250
Duval County (904) 241-1204
ROBERT DAVID GRAHAM M.D.
Surgery (Surgery of the Hand)
1577 ROBERTS DR STE 225
JACKSONVILLE BEACH, FL 32250
Duval County (904) 241-1204
DR. PATRICK D BROOKS MD
Orthopaedic Surgery
1577 ROBERTS DR STE 225
JACKSONVILLE, FL 32250
Duval County (904) 241-1204

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 Tanner Waterman's NPI number?

The NPI number for Tanner Waterman is 1871233932. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Tanner Waterman located?

Tanner Waterman practices at 1577 Roberts Dr Ste 225, Jacksonville Beach, FL 32250. The listed phone number is (904) 241-1204.

What is Tanner Waterman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tanner Waterman enrolled in Medicare?

Yes. Tanner Waterman 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.

What insurance does Tanner Waterman accept?

Health plans from AvMed list Tanner Waterman 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.

Is Tanner Waterman affiliated with any hospitals?

According to CMS data, Tanner Waterman is affiliated with Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Tanner Waterman was last updated on June 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.