Joanna Hardie Watts, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110003794 Issued in VA

Practice address

895 Washington St SW
Blacksburg, VA 24061-1067

Phone

(540) 231-6444

Fax

(540) 231-6900

NPI assigned

Feb 17, 2012

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Centra Medical Group, LLC

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1649228966
  Medicare reassignment
• Centra Medical Group, LLC

  dba Centra Medical Group Bedford

  • Family Medicine Physician
  • Bedford, VA
  • NPI 1295104347
  NPD

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1023381209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 WASHINGTON ST SW",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240611067",
            "telephone_number": "540-231-6444",
            "fax_number": "540-231-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 WASHINGTON ST SW",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240611067",
            "telephone_number": "540-231-6444",
            "fax_number": "540-231-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JOANNA",
        "middle_name": "HARDIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "0110003794",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wantech
• Cheri Austin Warburton, LPC
• Michael Ward
• Taketa Ward, MD
• Shara Hazel Watson, RN
• Lauren Watts, LCSW
• Whitney Wayman, LPC
• Anne Weese, PSRS
• Elizabeth Weidmann, LCSW
• Jane S Weiseman, MD

• Physician Assistant in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.