Lothel Watson
Individual provider Active NPI Peer Specialist · Grover, NC
NPI 1235905282 · NPPES record last updated Dec 8, 2025
Key facts
- NPI
- 1235905282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 108 N Main Street
Grover, NC 28073 - Phone
- (704) 267-1069
- Fax
- (980) 276-1795
- NPI assigned
- Nov 30, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenitys Place, Inc | Current | Accepting new patients | |
| Hope United Helping Others Progressively Excel Inc | Current |
Accepting new patients | |
| Hope United Helping Others Progressively Excel Inc | Current |
Accepting new patients |
Locations
700 N Cannon Blvd
Ste 113
Kannapolis, NC 28083
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
108 N Main Street
Grover, NC 28073
Mailing address
468 Eddleman Rd
Kannapolis, NC 28083-6117
Phone (704) 856-9467
Other providers in Grover, NC
- Quest Provider Services
- Katherine Rush
- Serenitys Place, Inc
- Temperance Transport
- Marquita Latrice Walls
- William Albert Weathers
- Wilson Telehealth Preventive Care
- Antoinette Marie Wilson
All providers in Grover, NC · Peer Specialist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.