Organization Active NPI

Watkins Total Healthcare LLC

  • Adult Medicine Physician
  • Gainesville, GA
National Provider Identifier
1346514650
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
WATKINS TOTAL HEALTHCARE LLC
Practice address
961 Green St NW
Gainesville, GA 30501-3325
Phone
(770) 534-0656
NPI assigned
Mar 5, 2012
Organization subpart
Yes
Parent organization
PROGRESSIVE COUMMINTY HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Mrs. Jeanne Hanlin
Title
Manager
Phone
(770) 534-0656

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X GA
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X GA Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X GA

Addresses

Primary practice location

961 Green St NW
Gainesville, GA 30501-3325

Mailing address

961 Green St NW
Gainesville, GA 30501-3325
Phone (770) 534-0656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120627000689 GA Part B Supplier - Clinic/Group Practice 6709041643 Receives reassigned benefits from 3 practitioners
Practice locations: Gainesville, GA
O20120629000084 GA DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 6709041643 Practice locations: Gainesville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Watkins Total Healthcare LLC961 Green Street NE, Gainesville, GA 30501(770) 534-0656 Heat & Cold Applications|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Apr 25, 2012

National Provider Directory

National Provider Directory
Part of
Progresive Comm Healthcare

Locations

961 Green St NW
Gainesville, GA 30501
Phone (404) 531-0845

Practitioners & affiliated clinicians

Practitioners 8

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": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1346514650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 GREEN ST NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013325",
            "telephone_number": "770-534-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 GREEN ST NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013325",
            "telephone_number": "770-534-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATKINS TOTAL HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE COUMMINTY HEALTHCARE",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "HANLIN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-534-0656",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.