NPIMap

Individual provider Active NPI

Brittany Nichole Watson, M.D.

  • Family Medicine Physician
  • Rock Hill, SC
National Provider Identifier
1245684026
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218354 Issued in NC
Practice address
455 Lakeshore Pkwy
Rock Hill, SC 29730-4205
Phone
(803) 909-6363
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 218354 NC Primary

Addresses

Primary practice location

455 Lakeshore Pkwy
Rock Hill, SC 29730-4205

Mailing address

455 Lakeshore Pkwy
Rock Hill, SC 29730-4205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191021000430 NC Practitioner - Family Practice 7012298045 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

10620 Park Rd
Charlotte, NC 28210-0106

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218354NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Sep 5, 2019 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 1, 2020 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Wake Forest University Health Sciences CurrentSince Nov 1, 2023 Accepting new patients
Carolinas Medical Center Family Medicine CurrentSince Sep 5, 2019 Accepting new patients
Southside United Health Centers Past Accepting new patients
United Health Center PastSince Apr 27, 2026 Accepting new patients
United Health Centers PastSince Apr 27, 2026 Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

501 Billingsley Rd
#B
Charlotte, NC 28211
Phone (704) 444-2400

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: brittany.watson.1@17278.direct.athenahealth.com
  • Direct secure messaging: bwatson136611@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIBJAD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1245684026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LAKESHORE PKWY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LAKESHORE PKWY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304205",
            "telephone_number": "803-909-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BRITTANY",
        "middle_name": "NICHOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "218354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.