Xavier Antoine Watts

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

056515 Issued in SC

Practice address

24 Carters Green Dr
Greenville, SC 29605-5998

Phone

(864) 684-2022

NPI assigned

Aug 9, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upstate Hopeful Hands LLC

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
  • NPI 1841977881
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1003544073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CARTERS GREEN DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055998",
            "telephone_number": "864-684-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CARTERS GREEN DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055998",
            "telephone_number": "864-684-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "XAVIER",
        "middle_name": "ANTOINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "056515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olympia Drewcilla Watts-Calhoun, BSW MA
• Kylie N Watts, PT, DPT
• Thomas J. Watts, D.O.
• Tiwona Watts
• Whitney Rae Watts, PHARMD
• Yakisha Caravelle Watts, NURSE
• Allyson Hudgins Way, RN
• Philip Michael Way, M.D.
• Christy Wayner, CRNA
• We Care Durable Medical Equipment

• Home Health Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.