Individual provider Active NPI

Leonysia F Watson, MD

  • Emergency Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1417240136
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2013-01829 Issued in TX
Practice address
170 Manning Dr
Department of Emergency Med.,Pob. 1St FL. CB#7594
Chapel Hill, NC 27514-4221
Phone
(919) 966-6442
Fax
(919) 966-3049
NPI assigned
May 27, 2011
Last updated
Aug 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2013-01829 TX Primary

Addresses

Primary practice location

170 Manning Dr
Department of Emergency Med.,Pob. 1St FL. CB#7594
Chapel Hill, NC 27514-4221

Mailing address

170 Manning Dr
Department of Emergency Med.,Pob. 1St FL. CB#7594
Chapel Hill, NC 27514-4221
Phone (919) 966-6442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131122001570 NC Practitioner - Emergency Medicine 0345476297 Reassigns benefits to 1 organization
I20160422001847 SC Practitioner - Emergency Medicine 0345476297 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37811SCMDPharmacist
2013-01829TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Apr 20, 2016 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Oct 13, 2014 Accepting new patients
Musc Community Physicians CurrentSince Aug 11, 2022 Accepting new patients
Greenville Health System CurrentSince Apr 20, 2016 Accepting new patients
Prisma Health University Medical Group CurrentSince Apr 20, 2016 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Oct 13, 2014 Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
Greenville Health System Current Accepting new patients
Prisma Health-Upstate Current Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Musc Community Physicians Emergency Medicine CurrentSince Aug 11, 2022 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients

Locations

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

971 Gold Hill Rd
Fort Mill, SC 29708
Phone (803) 329-1234

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

11402 Anderson Rd
Ste A
Greenville, SC 29611
Phone (864) 631-2799

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

1115 Wren School Rd
Piedmont, SC 29673
Phone (864) 859-0740

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

300 Scuffletown Rd
Simpsonville, SC 29681
Phone (864) 329-0029

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: lwatson380614@direct.musc.edu

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1417240136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MANNING DR",
            "address_2": "DEPARTMENT OF EMERGENCY MED.,POB. 1ST FL. CB#7594",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144221",
            "telephone_number": "919-966-6442",
            "fax_number": "919-966-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MANNING DR",
            "address_2": "DEPARTMENT OF EMERGENCY MED.,POB. 1ST FL. CB#7594",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144221",
            "telephone_number": "919-966-6442",
            "fax_number": "919-966-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LEONYSIA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "2013-01829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.