Watters Surgical Associates PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34194 Issued in NC

Legal business name

WATTERS SURGICAL ASSOCIATES PLLC

Practice address

1212 Cedarhurst Dr
Ste 102
Raleigh, NC 27609

Phone

(919) 431-9911

Fax

(919) 850-1397

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Authorized official

Name

Christopher Roy Watters, MD

Title

Owner

Phone

(919) 431-9911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285678631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 CEDARHURST DR",
            "address_2": "STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-431-9911",
            "fax_number": "919-850-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 CEDARHURST DR",
            "address_2": "STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-431-9911",
            "fax_number": "919-850-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATTERS SURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-431-9911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "34194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8986021",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Polly Jansen Watson, MD
• Reed Watson, MS, LMFTA
• Roshawn Watson, PHARM.D.
• Susan Austin Watson, M.D.
• Wendi Watson, LCAS, CADC
• Christopher Roy Watters, MD
• Tyler S Watters, MD
• Coralie Marie Watts, PA
• Heather Dianne Watts
• Katie Watts, RPH

• Surgery Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.