NPI age
12 years
Enumerated 2013-07-29
● Active Type 2 · Organization
Conyers Walk In Clinic
Conyers Walk In Clinic is 1 of 354 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Waters
Owner/nurse Practitioner
Last NPPES update
2025-10-07
Source: monthly bulk 2026-05
How this organization compares
Across 354 active clinic/center providers in Georgia.
NPI age
12 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 22% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-07Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
1804 Over Lake Dr Se
Conyers, GA 300131788
Mailing address
1804 Over Lake Dr Se Ste A
Conyers, GA 300131788
Authorized official
Danielle Nicole Waters, FNP
Owner/nurse Practitioner
📞 7706799935
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 1306986427 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.