Virginia Watkins, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2933 Issued in SC

Practice address

98 Willow LN
Spartanburg, SC 29307-1357

Phone

(864) 585-5552

Fax

(864) 597-0179

NPI assigned

Aug 12, 2009

Last updated

Apr 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Virginia Fuller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Allergy Partners, PLLC

  dba Allergy Partners of the Foothills

  • Allergy & Immunology Physician
  • Spartanburg, SC
  • NPI 1598755910

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1265664171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2405",
            "city": "SKYLAND",
            "state": "NC",
            "postal_code": "287762405",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 WILLOW LN",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071357",
            "telephone_number": "864-585-5552",
            "fax_number": "864-597-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "VIRGINIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "FULLER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Takako Watanabe, LPC
• Alyssa Breanne Bryant Waters, LMFT-A
• Leexandra M Waters, B.A
• Courtney Watford, MA, ED.S, LPC, CACP
• Michael Roland Watkins, M.D.
• Alicia L. Watson, D.C.
• Mekesha E Watson
• Monique Andrena Watson, LPC
• Jason Watters, NP
• Kenny Ray Watts

• Physician Assistant in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.