Individual provider Active NPI

Garrison Grier Watts Jr., MD

  • Cardiovascular Disease Physician
  • Forest City, NC
National Provider Identifier
1386813442
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
24555 Issued in SC
Practice address
127 E Trade Street
Ste B 100 Community Clinic Rutherford Co
Forest City, NC 28043-3131
Phone
(828) 245-0400
Fax
(828) 247-9000
NPI assigned
Feb 22, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 24555 SC Primary

Addresses

Primary practice location

127 E Trade Street
Ste B 100 Community Clinic Rutherford Co
Forest City, NC 28043-3131

Mailing address

127 E Trade Street
Ste B 100 Community Clinic Rutherford Co
Forest City, NC 28043-3131
Phone (828) 245-0400

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
4716SCMDSpeech-Language Pathologist
24555SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Consultants PA Cardiovascular Disease Past Accepting new patients

Organizations & group practices 1

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": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1386813442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E TRADE STREET",
            "address_2": "STE B 100 COMMUNITY CLINIC RUTHERFORD CO",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433131",
            "telephone_number": "828-245-0400",
            "fax_number": "828-247-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E TRADE STREET",
            "address_2": "STE B 100 COMMUNITY CLINIC RUTHERFORD CO",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433131",
            "telephone_number": "828-245-0400",
            "fax_number": "828-247-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "GARRISON",
        "middle_name": "GRIER",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "24555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.