Individual provider Active NPI

Aleshia Lewis Watson, M.D.

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1275797649
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039263 Issued in GA
Practice address
4875 Riverside Dr
Suite 104
Macon, GA 31210-1110
Phone
(478) 812-9299
Fax
(478) 812-9270
NPI assigned
Jul 15, 2008
Last updated
Jul 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 039263 GA Primary

Addresses

Primary practice location

4875 Riverside Dr
Suite 104
Macon, GA 31210-1110

Mailing address

4875 Riverside Dr
Suite 104
Macon, GA 31210-1110
Phone (478) 812-9299

Other names 1

  • Dr. Aleshia Charlene Watson Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
039263GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coliseum Health Group LLC Past Accepting new patients
Optum Palliative and Hospice Care, Inc Past Accepting new patients
Optum Palliative and Hospice Care, Inc. Past Accepting new patients
Macon Northside Hospital, LLC Past Accepting new patients

Organizations & group practices 4

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1275797649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 RIVERSIDE DR",
            "address_2": "SUITE 104",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101110",
            "telephone_number": "478-812-9299",
            "fax_number": "478-812-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 RIVERSIDE DR",
            "address_2": "SUITE 104",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101110",
            "telephone_number": "478-812-9299",
            "fax_number": "478-812-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ALESHIA",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "039263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALESHIA",
            "last_name": "WATSON",
            "middle_name": "CHARLENE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.