MR. DONALD B. WATERS (M.D.) – Family Medicine Physician, NPI 1972535615

MR. DONALD B. WATERS (M.D.) is a healthcare provider. based in Blackshear, Georgia. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 13804 (GA). The NPI Number for MR. DONALD B. WATERS (M.D.) is 1972535615

Main info

Male
Sole Proprietor
56 Years Of Experience
Accepts Medicare Assignment
Name
MR. DONALD B. WATERS (M.D.)
NPI
1972535615
Phone
(912) 449-4426
Address
120 E CARTER AVE
Enumeration Date
6 July 2006
Last Update Date
21 October 2009

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7704604285
Graduation Year
1970 (56 years ago)
PAC ID
1355332362
Group Practice PAC ID
4284951542
Professional Enrollment ID
I20080529000615
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. DONALD B. WATERS (M.D.)

  • Carter Avenue, Blackshear, Pierce County, Georgia, 31516, United States

    BLACKSHEAR, GA 315161561

    Phone: (912) 449-4426

    Fax: (912) 449-1517

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-08-12 • Largest payer in this snapshot: Dexcom, Inc. ($38).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$38
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080529000615IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes446198$0
36415Insertion of needle into vein for collection of blood sample375178$0
99214Established patient office or other outpatient visit, 30-39 minutes210130$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7171$0
96372Injection of drug or substance under skin or into muscle6131$0
View full utilization report →

Insurance plans in this area (ZIP 31516)

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Provider's Procedures

MR. DONALD B. WATERS (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA82270Stool analysis for blood to screen for colon tumors1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284951542View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Diagnostic RadiologyGA
Nurse PractitionerGA
Internal MedicineGA
Internal Medicine, Allergy/ImmunologyGA
General PracticeGA
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for MR. DONALD B. WATERS (M.D.) in U.S. healthcare records?
The official identifier for MR. DONALD B. WATERS (M.D.) is NPI 1972535615.
Is there an active status for MR. DONALD B. WATERS (M.D.)?
For scheduling context, MR. DONALD B. WATERS (M.D.) is shown as active in the registry.
What expertise is attributed to MR. DONALD B. WATERS (M.D.)?
MR. DONALD B. WATERS (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MR. DONALD B. WATERS (M.D.) associated with Blackshear?
Public fields place MR. DONALD B. WATERS (M.D.) around Blackshear, Georgia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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