Dr Watson Concierge Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR WATSON CONCIERGE MEDICINE, PLLC

Practice address

584 Westport Rd
Elizabethtown, KY 42701-2987

Phone

(859) 351-7660

NPI assigned

Jan 24, 2022

Organization subpart

No

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

Authorized official

Name

Andrea T WatsonNPI 1801036934

Title

Owner

Phone

(859) 351-7660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Watson, MD

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1801036934
  Medicare reassignment NPD Authorized official
• Markeesha Danielle Bruner, APRN, FNP

  • Family Nurse Practitioner
  • Brandenburg, KY
  • NPI 1841074077
  Medicare reassignment NPD

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1396497137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 WESTPORT RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012987",
            "telephone_number": "859-351-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 WESTPORT RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012987",
            "telephone_number": "859-351-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WATSON CONCIERGE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-351-7660"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Nicole Douthitt
• Cassandra Downey, DNP, CRNA
• Rachel Downs, APSS
• Mallory Ann Doyle, AGPCNP
• Dr Corzaon a Veza
• Dr. Elizabeth D. Sebree MD PSC
• Dr. Sasha Radford, LLC (Dr. Sasha Radford & Associates)
• Jenna Dreher
• DRS Godfrey Godfrey & Eklund PSC
• Brandi Druen

• Family Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.