Jimmie Parks Watkins, M.D. PH.D. D.D.S

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

51901 Issued in AZ

Practice address

15508 S 229TH Way
Mesa, AZ 85212-8913

Phone

(804) 350-2260

NPI assigned

Jun 5, 2006

Last updated

Feb 28, 2023By the provider in NPPES

Sex

Male

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1235178260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15508 S 229TH WAY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128913",
            "telephone_number": "804-350-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15508 S 229TH WAY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128913",
            "telephone_number": "804-350-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JIMMIE",
        "middle_name": "PARKS",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D. D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "51901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerrin Watkins-Ferroni
• Amber R Watkins, RN
• Blaine Kenneth Watkins, O.D.
• Carmen Watkins
• Christopher Watkins, DDS
• Kelli A Watkins, LMT
• Byron Greenberry Watson
• Judah Mariah Watson
• Matthew Watson, L.C.S.W.
• Ryan Scott Watson, DNP, CRNA

• Anesthesiology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.