NPIMap

Individual provider Active NPI

Lothel Watson

  • Peer Specialist
  • Grover, NC
National Provider Identifier
1235905282
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
108 N Main Street
Grover, NC 28073
Phone
(704) 267-1069
Fax
(980) 276-1795
NPI assigned
Nov 30, 2023
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

108 N Main Street
Grover, NC 28073

Mailing address

468 Eddleman Rd
Kannapolis, NC 28083-6117
Phone (704) 856-9467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope United Helping Others Progressively Excel Inc CurrentSince Dec 3, 2023 Accepting new patients
Serenitys Place, Inc Current Accepting new patients
Hope United Helping Others Progressively Excel Inc CurrentSince Feb 18, 2024 Accepting new patients

Locations

700 N Cannon Blvd
Ste 113
Kannapolis, NC 28083

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1235905282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 EDDLEMAN RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836117",
            "telephone_number": "704-856-9467",
            "fax_number": "980-276-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MAIN STREET",
            "city": "GROVER",
            "state": "NC",
            "postal_code": "28073",
            "telephone_number": "704-267-1069",
            "fax_number": "980-276-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LOTHEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-30",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.