Chad C Watkins, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2769 Issued in FL

Practice address

914 E Dixie Ave
Leesburg, FL 34748-7647

Phone

(352) 805-4317

Fax

(352) 805-4298

NPI assigned

Oct 31, 2005

Last updated

Sep 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: chad.watkins.1@15111.direct.athenahealth.com
• Direct secure messaging: cwatkins565890@direct.shands.ufl.edu

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.

• Watkins Foot and Ankle Clinic LLC

  • Foot & Ankle Surgery Podiatrist
  • Leesburg, FL
  • NPI 1982146346
  Medicare reassignment Authorized official
• Central Florida Physical Medicine and Rehabilitation PA

  • Physical Medicine & Rehabilitation Physician
  • Fruitland Park, FL
  • NPI 1366437360
  NPD
• Lco Group, PA

  • Medical Specialty Clinic/Center
  • The Villages, FL
  • NPI 1255630471
  NPD (past)

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

• Leesburg Regional Medical Center Inc

  dba Uf Health Emergency/Urgent Care Eustis Mt. Dora

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1245001189

  Hospital

  Care Compare affiliation
• Leesburg Regional Medical Center Inc

  • General Acute Care Hospital
  • Leesburg, FL
  • NPI 1245226190
  Care Compare affiliation
• LRMC Urgent Care Center

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1598841389

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1174514194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487647",
            "telephone_number": "352-805-4317",
            "fax_number": "352-805-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487647",
            "telephone_number": "352-805-4317",
            "fax_number": "352-805-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "CHAD",
        "middle_name": "C",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390469500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marie Walsh
• Nicholas Ward, RBT
• Vanessa Washington
• Annette Marie Waterson, OTR/L
• Watkins Foot and Ankle Clinic LLC
• Karsten S. Weber, D.P.M.
• Yashel Wedderburn Landell, MD
• Weena Chua Favis MD PA (Lake Prime Care)
• Wendell J. Courtney, M.D.,P.a.
• West Coast Dental Partners

• Foot & Ankle Surgery Podiatrist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.