NPIMap

Organization Active NPI

Elite Clinical Services

  • Family Medicine Physician
  • Jensen Beach, FL
National Provider Identifier
1154895878
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELITE CLINICAL SERVICES
Practice address
3601 NW Federal Hwy
Jensen Beach, FL 34957-3676
Phone
(772) 301-9369
Fax
(772) 209-4200
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Dr. Jason Watt, MDNPI 1487821641
Title
Ceo
Phone
(772) 208-3057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

3601 NW Federal Hwy
Jensen Beach, FL 34957-3676

Mailing address

3601 NW Federal Hwy
Jensen Beach, FL 34957-3676
Phone (772) 301-9369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190405000634 FL Part B Supplier - Clinic/Group Practice 8729329495 Receives reassigned benefits from 7 practitioners
Practice locations: Jensen Beach, FL

National Provider Directory

National Provider Directory

Locations

3601 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 208-3057

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1154895878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573676",
            "telephone_number": "772-301-9369",
            "fax_number": "772-209-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573676",
            "telephone_number": "772-301-9369",
            "fax_number": "772-209-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-208-3057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.