NPIMap

Organization Active NPI

James Watkins

  • Clinic/Center
  • Charlotte, NC
National Provider Identifier
1265787162
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
24954 Issued in NC
Legal business name
JAMES WATKINS
Practice address
1601 Abbey PL
Ste 105
Charlotte, NC 28209-3835
Phone
(704) 512-5360
Fax
(704) 512-5080
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
James Allison Watkins, M.D.NPI 1023009321
Title
President
Phone
(704) 616-4062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 24954 NC Primary

Addresses

Primary practice location

1601 Abbey PL
Ste 105
Charlotte, NC 28209-3835

Mailing address

PO Box 470255
Charlotte, NC 28247-0255
Phone (704) 335-5418

Other identifiers 3

IdentifierTypeStateIssuer
8985934MedicaidNC
1023009321OtherINDIVIDUAL NPI #
171JKOtherBCBSNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1265787162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470255",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470255",
            "telephone_number": "704-335-5418",
            "fax_number": "704-314-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ABBEY PL",
            "address_2": "STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093835",
            "telephone_number": "704-512-5360",
            "fax_number": "704-512-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES WATKINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-616-4062",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "24954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985934",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1023009321",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "171JK",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.