Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023701927 Individual Practitioner Male Practitioner

Jared Waters

Physician Assistant • Roanoke, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jared Waters is a certified Physician Assistant practicing in Roanoke, VA. With approximately 3 years of clinical experience since graduating from University Of Florida College Of Medicine in 2023, Jared Waters delivers high-quality medical care to the local community at 5673 AIRPORT RD.

Jared Waters is affiliated with Intercept Youth Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

5673 Airport Rd

Roanoke, VA 240121119

Telephone 5405238080
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roanoke, VA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -5.4 yrs vs City Avg
City Avg: 8.4 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
301 Specialists

Practicing in Roanoke, VA (4432 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waters (3 Years) 3 Yrs
Roanoke Specialty Average (8.4 Years) 8.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-08-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110009479

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.

Hospital & Practice Group Affiliations

Intercept Youth Services Inc

5673 Airport Rd, Roanoke, VA 240121119

Phone: 5405238055

Secondary Practice Locations

5500 Staples Mill Rd

Henrico, VA 232285423

Phone: 5405238080

Practice Associates & Co-Workers

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

10 Associated Practitioners
Tracy Mowles , LPC

Counselor - Professional

NPI 1083015309

Licensed Professional Counselor

Mark Martin , LCSW

Counselor - Mental Health

NPI 1346490695

Licensed Clinical Social Worker

Mary Vandergrift , PA-C

Physician Assistant

NPI 1518041722

Physician Assistant (Certified)

Amy Pierce , LPC

Counselor - Professional

NPI 1700653847

Licensed Professional Counselor

Amanda Beverly , LPC, CSOTP

Counselor - Professional

NPI 1730563842

Licensed Professional Counselor, CSOTP

Bryan Lesniewicz , PA-C

Physician Assistant

NPI 1760163133

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 17, 2023

Registered at 5673 AIRPORT RD, ROANOKE, VA 240121119 (Tel: 5405238080)

📍
Updated Business Mailing Address August 17, 2023

Registered at 3111 GRAYLAND AVE, RICHMOND, VA 232213527

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2023

Physician Assistant (License #0110009479 in VA)

NPI Profile Active May 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2023

Registered at 2709 HOLLY RD, VIRGINIA BEACH, VA 234514074 (Tel: 7576525015)

📍
Updated Business Mailing Address May 29, 2023

Registered at 2709 HOLLY RD, VIRGINIA BEACH, VA 234514074

👤
Provider Name / Credentials Updated May 29, 2023

Recorded as JARED WATERS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 29, 2023

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: 1023701927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2023
Last Update: August 17, 2023
Sole Proprietor: Yes

Mailing Address

3111 Grayland Ave

Richmond, VA 232213527

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.