GEORGE DAVID JR. WATERMAN (M.D.) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1972500015

GEORGE DAVID JR. WATERMAN (M.D.) is a healthcare provider. based in Columbus, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35080962 (OH). The NPI Number for GEORGE DAVID JR. WATERMAN (M.D.) is 1972500015

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE DAVID JR. WATERMAN (M.D.)
NPI
1972500015
Phone
(614) 722-4867
Address
555 S 18TH ST
Enumeration Date
5 July 2005
Last Update Date
2 December 2008

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
5182625633
Graduation Year
1999 (27 years ago)
PAC ID
2062453483
Group Practice PAC ID
1759293111
Professional Enrollment ID
I20090615000354
Address ID
NY122083412AL47XXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,674 EMERGENCY MEDICINE in OH

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Provider Addresses for GEORGE DAVID JR. WATERMAN (M.D.)

  • 18th Street, East Highlands, Columbus, Muscogee County, Georgia, 31993, United States

    COLUMBUS, OH 432052654

    Phone: (614) 722-4867

    Fax: (614) 722-4380

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-06-15

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
I20090615000354IEmergency MedicineNYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43205)

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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: 1759293111View full group profile
NameSpecialtyState
N E U R O L O G YNY
-NY
-NY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
P S Y C H I A T R YNC
Emergency Medicine, Critical Care (Intensivists)NY
Thoracic SurgeryNY
-NY
Vascular SurgeryNY

Reviews

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Frequently asked questions

Can I use this page to confirm GEORGE DAVID JR. WATERMAN (M.D.)'s NPI?
Yes. GEORGE DAVID JR. WATERMAN (M.D.) is listed with NPI 1972500015 in the public NPI dataset.
Does CMS list GEORGE DAVID JR. WATERMAN (M.D.) as active?
Yes — GEORGE DAVID JR. WATERMAN (M.D.) is active in the NPI listing used on this page.
What is GEORGE DAVID JR. WATERMAN (M.D.)'s specialty?
The listing groups GEORGE DAVID JR. WATERMAN (M.D.) with Pediatric Emergency Medicine (Pediatrics) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect GEORGE DAVID JR. WATERMAN (M.D.) on a map?
Expect Columbus, Ohio as a primary anchor for GEORGE DAVID JR. WATERMAN (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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