MRS. MEMORI MCCARLEY WATERS CPNP-PC
NPI 1902271604
Nurse Practitioner - Pediatrics in Alma, GA

Active since December 07, 2015
1112 W 12TH ST, ALMA, GA 31510(912) 632-8244(912) 632-7041 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2021, Dec 7, 2015 (2 updates tracked since 2015).

About Mrs. Memori Mccarley Waters Cpnp-pc NPPES

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

MRS. MEMORI MCCARLEY WATERS CPNP-PC (NPI 1902271604) is an individual pediatrics provider in Alma, Georgia, licensed in Georgia (RN202155) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1902271604
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. MEMORI MCCARLEY WATERSCredential: CPNP-PC
Location Address1112 W 12TH STAlma, GA 31510-1814
Mailing Address1112 W 12th StAlma, GA 31510-1814 · (912) 632-8244 · Fax (912) 632-7041
Fax(912) 632-7041
Sole ProprietorNo
Enumeration DateDecember 7, 2015
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
NPI 1902271604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in GA · RN202155
1112 W 12TH ST, Alma, GA 31510

Other Names 1

Former Name (1)Memori Kay Mccarley Cpnp-pc

Other Providers at the Same Location NPPES

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

Pediatrics
1112 W 12TH ST
ALMA, GA 31510

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 Memori Waters's NPI number?

The NPI number for Memori Waters is 1902271604. It was assigned to this individual provider in the NPPES registry on December 7, 2015. The provider is also known as Memori Kay Mccarley Cpnp-Pc.

Where is Memori Waters located?

Memori Waters practices at 1112 W 12th St, Alma, GA 31510. The listed phone number is (912) 632-8244.

What is Memori Waters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Memori Waters was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.