Eagles Landing Diabetes and Endocrinology

Primary specialty

SpecialistTaxonomy code 174400000X

License

044862 Issued in GA

Legal business name

EAGLES LANDING DIABETES AND ENDOCRINOLOGY

Practice address

550 Eagles Landing Pkwy Ste 110
Stockbridge, GA 30281-9083

Phone

(770) 389-9494

Fax

(770) 357-2511

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Steven Watts, M.D.NPI 1942301759

Title

Owner

Phone

(770) 389-9494

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NONE Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDABDA

Practitioners 8

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

• Ronald Steven Watts, M.D., F.A.C.E

  • Specialist
  • Stockbridge, GA
  • NPI 1942301759
  Medicare reassignment NPD Authorized official
• Darnella Crowder, NP

  • Family Nurse Practitioner
  • McDonough, GA
  • NPI 1437834025

  Single Specialty

  Medicare reassignment NPD
• Douglas K Epps, M.D.

  • Family Medicine Physician
  • Stockbridge, GA
  • NPI 1518957372
  Medicare reassignment NPD
• Carlena Suzette Plunkett, FNP

  • Family Nurse Practitioner
  • Stockbridge, GA
  • NPI 1770035362
  Medicare reassignment NPD
• Cicely A Ross, NP

  • Adult Health Nurse Practitioner
  • Stockbridge, GA
  • NPI 1912424094
  Medicare reassignment NPD
• Kianna Lawson, PA-C

  • Physician Assistant
  • Stockbridge, GA
  • NPI 1932239993
  Medicare reassignment
• Milajurine Tywanka Lindsay, P.A.

  • Physician Assistant
  • Washington, DC
  • NPI 1003958208

  GA

  Medicare reassignment
• Nadine S Henry-Ladge, NP-C

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1730317306
  NPD

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623542400000",
    "number": "1376725978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 EAGLES LANDING PKWY STE 110",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819083",
            "telephone_number": "770-389-9494",
            "fax_number": "770-357-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 EAGLES LANDING PKWY STE 110",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819083",
            "telephone_number": "770-389-9494",
            "fax_number": "770-357-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES LANDING DIABETES AND ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-389-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "044862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000977523A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eagle'S Landing Longevity Center
• Eagle'S Landing OB GYN 2 LLC
• Eagle'S Landing Pharmacy
• Eagle'S Landing Pharmacy
• Eagle'S Wings Healthcare Services, Inc.
• Eagles Landing Gastroenterology P.C.
• Eagles Landing Medical Center
• Eagles Landing Multi Speciality Group,LLC
• Eagles Landing Nephrology and Hypertension LLC
• Eagles Landing Pediatric Associates LLC

• Specialist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; 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.