NPIMap

Individual provider Active NPI

Dwayne L Watkins, MD

  • Internal Medicine Physician
  • Griffin, GA
National Provider Identifier
1174543276
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
053054 Issued in GA
Practice address
327 S 9TH St
Griffin, GA 30224-4111
Phone
(770) 233-9293
Fax
(770) 233-0998
NPI assigned
Jul 20, 2006
Last updated
May 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 053054 GA
Internal Medicine Physician 207R00000X 053054 GA Primary

Addresses

Primary practice location

327 S 9TH St
Griffin, GA 30224-4111

Mailing address

327 S 9TH St
Griffin, GA 30224-4111
Phone (770) 233-9293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031118000082 GA Practitioner - Internal MedicinePractitioner - Family Practice 4981518529 Reassigns benefits to 7 organizations
I20240718001413 KS Practitioner - Emergency Medicine 4981518529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Cochran Emergency Medical Services LLCGroup PAC ID 9638398027, 17 clinicians
Southland Consolidated Emergency Services LLCGroup PAC ID 2860792066, 68 clinicians

Practice addresses (Care Compare)

145 E Peacock St
Cochran, GA 31014-7846
Phone (229) 200-4950

88 Martin Luther King Jr Dr
Forsyth, GA 31029-1682
Phone (478) 994-2521

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
71.9
Improvement activities
40
Cost
87.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
053054GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Emergency Medical Services Consolidated, LLC Internal Medicine CurrentSince Jan 18, 2023 Accepting new patients
Southland Consolidated Emergency Services, LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Southland Cochran Emergency Medical Services, LLC Emergency Medicine CurrentSince Jan 18, 2023 Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
United Emergency Services, Inc. Emergency Medicine CurrentSince Mar 15, 2016 Accepting new patients
Georgia Emergency Group, LLC Emergency Medicine CurrentSince Jun 15, 2013 Accepting new patients
Monroe Hma Physician Management LLC Internal Medicine PastSince Jan 13, 2014 Accepting new patients

Locations

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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 4

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1174543276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 S 9TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244111",
            "telephone_number": "770-233-9293",
            "fax_number": "770-233-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 S 9TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244111",
            "telephone_number": "770-233-9293",
            "fax_number": "770-233-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "DWAYNE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "053054",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "053054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.