Mary Carolyn Watson

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARY CAROLYN WATSON

Doing business as

Mary Watson MD

Practice address

608 Dogwood Dr NE
Pelham, GA 31779-1132

Phone

(850) 815-0063

NPI assigned

Dec 21, 2021

Last updated

Dec 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Watson, MDNPI 1053549444

Title

Owner

Phone

(850) 815-0063

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MARY WATSON MD Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Carolyn Watson, M.D.

  • Family Medicine Physician
  • Pelham, GA
  • NPI 1053549444
  NPD Authorized official

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1093475824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 SHADOWMOSS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 DOGWOOD DR NE",
            "city": "PELHAM",
            "state": "GA",
            "postal_code": "317791132",
            "telephone_number": "850-815-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CAROLYN WATSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-815-0063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053549444",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAL LICENSE",
            "identifier": "86385",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARY WATSON MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hospital Authority of Mitchell County (Pelham Parkway Nursing Home)
• Hospital Authority of Mitchell County (Archbold - Pelham Primary Care Clinic)
• Alvin Riland Jones III, RPH
• Terry R Lambert, DC
• Michael Paul Lane, LPC
• McLean Cares Inc
• Holly McMullen, PHARM.D.
• Mitchell County Hospital (The Pelham Clinic)
• Moyes Drug Store Inc (Moyes Drug Store)
• Pelham Chiropractic Clinic

• Family Medicine Physician in Pelham, GA
• Providers in Pelham, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.