Individual provider Active NPI

Robert S Watkins, MD

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1093815995
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36614 Issued in NC
Practice address
580 New Waverly Place
Suite 120
Cary, NC 27518
Phone
(919) 858-8360
Fax
(919) 858-8408
NPI assigned
Sep 22, 2006
Last updated
May 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36614 NC Primary

Addresses

Primary practice location

580 New Waverly Place
Suite 120
Cary, NC 27518

Mailing address

580 New Waverly Place
Suite 120
Cary, NC 27518
Phone (919) 858-8360

Other identifiers 2

IdentifierTypeStateIssuer
85993OtherBCBS NY
8985993MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000655 NC Practitioner - Family Practice 5597880997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Macgregor Family Physicians PAGroup PAC ID 2062537467, 2 clinicians

Practice addresses (Care Compare)

580 New Waverly PL
Suite 120
Cary, NC 27518-7406
Phone (919) 858-8360

580 New Waverly Place
Suite 120
Cary, NC 27518-7406

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6430NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Macgregor Family Physicians PA Family Medicine CurrentSince Sep 14, 2010 Accepting new patients

Locations

580 New Waverly Pl
Ste 120
Cary, NC 27518
Phone (919) 858-8360

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1093815995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 NEW WAVERLY PLACE",
            "address_2": "SUITE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-858-8360",
            "fax_number": "919-858-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 NEW WAVERLY PLACE",
            "address_2": "SUITE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-858-8360",
            "fax_number": "919-858-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "36614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NY",
            "identifier": "85993",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985993",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.