Glen Lee Watkins, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

205062 Issued in LA

Practice address

1000 Chinaberry Dr Ste 1103
Bossier City, LA 71111-2463

Phone

(318) 716-1111

Fax

(318) 716-1112

NPI assigned

Jun 19, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Otolaryngology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Care Authority for Baptist Health, an Affiliate of UabhsGroup PAC ID 8426076670, 270 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
• Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149

Merit-based Incentive Payment System (MIPS)

Final score

83 of 100Reported as group

Quality

64.43

Promoting interoperability

100

Improvement activities

40

Cost

78.9

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mingwatki@yourcarecommunity.org

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.

• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1982653390
  Medicare reassignment Care Compare group NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1033534524
  NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • Cardiovascular Disease Physician
  • Montgomery, AL
  • NPI 1427822279
  NPD
• Bond Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1235641739
  NPD (past)

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

• Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1104917780
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation

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

{
    "created_epoch": "1119139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1124023874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 1103",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112463",
            "telephone_number": "318-716-1111",
            "fax_number": "318-716-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 1103",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112463",
            "telephone_number": "318-716-1111",
            "fax_number": "318-716-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "GLEN",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-19",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME98502",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "050489",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "205062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21744801",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ted Broox Warren, MD
• Laterina Washington
• Pamela Ann Washington
• Shamisa Washington, LPC
• Charlesia Watkins
• Destiney Watson-Hall, PHARMD
• Matthew Watson
• Wendy Watson
• Mary Watts, DPT
• We Care Sitter Service

• Otolaryngology Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Otolaryngology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.