NPI age
19 years
Enumerated 2007-05-03
● Active Type 2 · Organization
Renee L Waters, MD Pc
Renee L Waters, MD Pc is 1 of 2726 pediatrics organizations in Georgia.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Keys
Office Manager
Last NPPES update
2008-06-25
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
285 Elm St, Suite 102
Cumming, GA 300408233
Mailing address
285 Elm St, Suite 102
Cumming, GA 300408233
Authorized official
William Tod Keys
Office Manager
📞 7702057799
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Douglas Hiser, DMD, MS, PC Dentist NPI 1467646729
- James Lamb, D.M.D., M.S. Dentist NPI 1598848863
- Christina McKellar, DMD Dentist NPI 1659611184
- Seon Gyeong Park, DDS Dentist NPI 1669097614
- Kenneth Wyatt, DMD Dentist NPI 1295806461
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00650339D |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
IVY RIDGE PEDIATRICS
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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