Contreshia T Watkins

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

22F-CW2211083 Issued in GA

Practice address

3160 Riverside Dr
Macon, GA 31210

Phone

(478) 259-3806

Fax

(478) 259-3543

NPI assigned

Jan 31, 2022

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

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.

• Watkins Rejuvenation Center

  • Health Service Clinic/Center
  • Macon, GA
  • NPI 1598591554
  NPD Authorized official

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1144973165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-259-3806",
            "fax_number": "478-259-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-259-3806",
            "fax_number": "478-259-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "CONTRESHIA",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "GA",
            "license": "22F-CW2211083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Warrick, A.T.C
• Jazmine Nichole Washington, LAT, ATC
• Jessica Leanne Waters
• Jill Mullins Waters, M.D.
• Watkins Rejuvenation Center
• Kinsey Watkins
• Victoria Watkins, RBT
• Aleshia Lewis Watson, M.D.
• Alpha J Watson, MD
• Byron Maurice Watson, MD

• Sports Medicine (Preventive Medicine) Physician in Macon, GA
• Providers in Macon, GA by specialty
• Sports Medicine (Preventive Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.