NPIMap

Individual provider Active NPI

Jon Robin Watkins, M.D.

  • Family Medicine Physician
  • Plainview, TX
National Provider Identifier
1235329939
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8420 Issued in TX
Practice address
1806 Quincy Street
Plainview, TX 79072-4206
Phone
(806) 288-7891
Fax
(806) 288-7920
NPI assigned
Jul 29, 2007
Last updated
Jun 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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 M8420 TX
Family Medicine Physician 207Q00000X M8420 TX Primary

Addresses

Primary practice location

1806 Quincy Street
Plainview, TX 79072-4206

Mailing address

1806 Quincy Street
Plainview, TX 79072-4206
Phone (806) 288-7891

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080527000342 TX Practitioner - Family Practice 5395814735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1806 Quincy St
Plainview, TX 79072-4206
Phone (806) 288-7891

315 W Cleveland St
Hale Center, TX 79041-9476
Phone (806) 839-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Hospital Plainview Texas CurrentSince Apr 15, 2021 Accepting new patients
Covenant Medical Group Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Covenant Medical Group Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Methodist Hospital Plainview Texas CurrentSince Apr 15, 2021 Accepting new patients
Methodist Hospital Plainview Texas Past Accepting new patients

Locations

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

1806 Quincy St
Plainview, TX 79072
Phone (806) 288-7891

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

2606 Yonkers St
Plainview, TX 79072
Phone (806) 291-5120

Interoperability endpoints

  • Direct secure messaging: jwatkins2018589@oc.providencedirect.org

Organizations & group practices 6

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 5

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": "1185667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1235329939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 QUINCY STREET",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790724206",
            "telephone_number": "806-288-7891",
            "fax_number": "806-288-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 QUINCY STREET",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790724206",
            "telephone_number": "806-288-7891",
            "fax_number": "806-288-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JON",
        "middle_name": "ROBIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-29",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M8420",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, TX

Sources for this page

Verify at the official NPI Registry.