Waterfalls Medical Practice, P.C
NPI 1225567225 · Internal Medicine Physician · Peachtree City, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waterfalls Medical Practice, P.C is a Internal Medicine Physician organization in Peachtree City, GA (NPI 1225567225).
Provider details
- NPI number
- 1225567225
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Irene Omotoso, Medical Director(678) 932-8112
- License
- 053629 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1202 Tolmount CtPeachtree City, GA 30269-3348Phone: (678) 932-8112Fax: (678) 932-8113
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2020-06-16
- Certified
- 2020-06-16
Frequently asked questions
- What is Waterfalls Medical Practice, P.C's NPI number?
- Waterfalls Medical Practice, P.C's National Provider Identifier (NPI) is 1225567225, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterfalls Medical Practice, P.C?
- Waterfalls Medical Practice, P.C is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Waterfalls Medical Practice, P.C located?
- Waterfalls Medical Practice, P.C's practice location on file with NPPES is 112 Governors Sq Ste B, Peachtree City, GA 30269-4864.
- What is Waterfalls Medical Practice, P.C's phone number?
- The practice phone number listed in the NPPES registry for Waterfalls Medical Practice, P.C is (678) 932-8112.
- Does Waterfalls Medical Practice, P.C accept Medicare?
- Waterfalls Medical Practice, P.C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Waterfalls Medical Practice, P.C?
- The authorized official listed on Waterfalls Medical Practice, P.C's NPPES record is Irene Omotoso, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterfalls Medical Practice, P.C's NPI active?
- Yes — Waterfalls Medical Practice, P.C's NPI (1225567225) is active in the NPPES registry as of the last update on 2020-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.