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Active NPI 1326316308 Individual Practitioner Male Practitioner

Douglas Waters , PA

Physician Assistant • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Douglas Waters, PA is a registered healthcare professional specializing in Physician Assistant in Jacksonville, FL. Practice services are available at 4311 SALISBURY RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4311 Salisbury Rd

Jacksonville, FL 322166123

Telephone 9043324300
Fax 9043324339
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
77 77 $1037.27 $140.62
99284 Emergency department visit with moderate level of medical decision making
53 53 $709.36 $97.04
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
24 22 $52.33 $6.51

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9106355

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Pamela Buckallew , ARNP

Nurse Practitioner - Family

NPI 1043279466

Advanced Registered Nurse Practitioner

Sherene Wilson , PA

Physician Assistant

NPI 1295019925

Physician Assistant

William Crissman , PA

Physician Assistant

NPI 1316278674

Physician Assistant

Frances Nordstrom , ARNP

Nurse Practitioner - Family

NPI 1326393182

Advanced Registered Nurse Practitioner

Suzanne Harlow , APRN

Nurse Practitioner - Family

NPI 1396092532

Advanced Practice Registered Nurse

Andrew Tanner , PA

Physician Assistant - Medical

NPI 1518222801

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 06, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2011

Registered at 4311 SALISBURY RD, JACKSONVILLE, FL 322166123 (Tel: 9043324300)

📍
Updated Business Mailing Address December 06, 2011

Registered at 4311 SALISBURY RD, JACKSONVILLE, FL 322166123 (Tel: 9043324300)

👤
Provider Name / Credentials Updated December 06, 2011

Recorded as DOUGLAS WATERS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2011

Physician Assistant (License #PA9106355 in FL)

🟢
Initial NPI Registration & Enumeration December 06, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326316308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2011
Last Update: December 06, 2011
Sole Proprietor: Yes

Mailing Address

4311 Salisbury Rd

Jacksonville, FL 322166123

Phone: 9043324300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.