NPIMap

Individual provider Active NPI

Jeremiah Ray Watkins, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Dalton, GA
National Provider Identifier
1447431275
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
59231 Issued in GA
Practice address
1200 Memorial Dr
Dalton, GA 30720-2529
Phone
(706) 272-6000
NPI assigned
Nov 20, 2007
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 59231 GA Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 059231 GA

Addresses

Primary practice location

1200 Memorial Dr
Dalton, GA 30720-2529

Mailing address

1200 Memorial Dr
Dalton, GA 30720-2529

Other identifiers 8

IdentifierTypeStateIssuer
11016OtherGAMED DIRECTOR LIC
003126490CMedicaidGA
V0576OtherTXSTATE MED LIC
160548OtherFLSTATE MED LIC
059231OtherGASTATE LICENCSE
2022-03227OtherNCSTATE MED LIC
003126490DMedicaidGA
89012OtherSCSTATE MED LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120717000566 GA Practitioner - Pathology 6608032792 Reassigns benefits to 6 organizations
I20230223001486 FL Practitioner - Pathology 6608032792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Mercer University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert S Smith MD IncGroup PAC ID 7416948740, 9 clinicians
Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians
Laboratory Medicine, PCGroup PAC ID 9436560083, 2 clinicians

Practice addresses (Care Compare)

11390 Old Roswell Rd
Suite 100
Alpharetta, GA 30009-2058
Phone (888) 581-1201

1432 Broadrick Dr
Dalton, GA 30720-3009
Phone (706) 226-8990

1436 Broadrick Dr
Suite B
Dalton, GA 30720-3009
Phone (706) 226-3434

215 Curtis Pkwy NE
Calhoun, GA 30701-1404
Phone (706) 529-3025

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 745-2111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
90.44 of 100Reported as group
Quality
80.88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59231GAMDAnatomic Pathology & Clinical Pathology Physician
059231GAMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aga, LLC CurrentSince Sep 1, 2022 Accepting new patients
Hamilton Physician Group Inc CurrentSince Feb 16, 2026 Accepting new patients
Laboratory Medicine, PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2024 Accepting new patients
Peachtree Laboratory Associates PC CurrentSince Jul 1, 2014 Accepting new patients
Robert S. Smith MD, Inc Anatomic Pathology & Clinical Pathology CurrentSince Feb 10, 2025 Accepting new patients
Mountainside Pathology, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 11, 2025 Accepting new patients
Aga Professional Services, LLC PastSince Sep 1, 2015 Accepting new patients
Associated Pathologists LLC Past Accepting new patients
Robert S. Smith MD, Inc PastSince Feb 10, 2025 Accepting new patients

Locations

1000 Mansell Exchange W
Ste 200
Alpharetta, GA 30022

11390 Old Roswell Rd
Ste 100
Alpharetta, GA 30009
Phone (678) 708-4769

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

5700 Southwyck Blvd
Toledo, OH 43614

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1447431275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MEMORIAL DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MEMORIAL DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202529",
            "telephone_number": "706-272-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JEREMIAH",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "59231",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "GA",
            "license": "059231",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED DIRECTOR LIC",
            "identifier": "11016",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126490C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MED LIC",
            "identifier": "V0576",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MED LIC",
            "identifier": "160548",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCSE",
            "identifier": "059231",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MED LIC",
            "identifier": "2022-03227",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126490D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MED LIC",
            "identifier": "89012",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.