NPIMap

Individual provider Active NPI

Blythe J Watson, PA-C

  • Surgical Physician Assistant
  • Augusta, GA
National Provider Identifier
1326197740
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0005551 Issued in GA
Practice address
811 13TH St Ste 20
Augusta, GA 30901-2771
Phone
(706) 722-3401
Fax
(706) 724-6540
NPI assigned
Jan 9, 2007
Last updated
Oct 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0005551 GA Primary

Addresses

Primary practice location

811 13TH St Ste 20
Augusta, GA 30901-2771

Mailing address

811 13TH St Ste 20
Augusta, GA 30901-2771
Phone (706) 722-3401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031105000226 SC Practitioner - Physician Assistant 9931011178 Reassigns benefits to 1 organization
I20131125001398 GA Practitioner - Physician Assistant 9931011178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

2511 Associates Way
Evans, GA 30809-3106
Phone (706) 722-3401

3650 J Dewey Gray Cir
Augusta, GA 30909-1867

4369 Evans to Locks Rd
Evans, GA 30809-4099
Phone (706) 863-9797

811 13TH St
Suite 20
Augusta, GA 30901-2771
Phone (706) 722-3401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.48 of 100Reported as group
Quality
56.49
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0005551GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Nov 16, 2023 Accepting new patients
Orthopaedic Associates of Augusta P a CurrentSince Oct 7, 2013 Accepting new patients
Lakelands Orthopaedic Clinic Past Accepting new patients
Lakelands Orthopaedic Clinic PA Past Accepting new patients
Carolina Musculoskeletal Institute PA Past Accepting new patients

Locations

3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797

811 13th St
Ste 20
Augusta, GA 30901
Phone (706) 722-3401

Interoperability endpoints

  • Direct secure messaging: blythe.watson.1@23890.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8321/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1326197740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 13TH ST STE 20",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012771",
            "telephone_number": "706-722-3401",
            "fax_number": "706-724-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 13TH ST STE 20",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012771",
            "telephone_number": "706-722-3401",
            "fax_number": "706-724-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BLYTHE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "0005551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.