Individual provider Active NPI

Steven Benjamin Watson, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Smyrna, GA
National Provider Identifier
1447540828
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
68809 Issued in GA
Practice address
3968 Felton Hill Rd
Suite 100
Smyrna, GA 30082-3522
Phone
(770) 333-7888
Fax
(770) 333-7889
NPI assigned
Apr 19, 2011
Last updated
May 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 68809 GA Primary

Addresses

Primary practice location

3968 Felton Hill Rd
Suite 100
Smyrna, GA 30082-3522

Mailing address

3968 Felton Hill Rd
Suite 100
Smyrna, GA 30082-3522
Phone (770) 333-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130306000295 GA Practitioner - Hand Surgery 3274788799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dkumar LLCGroup PAC ID 4587706072, 6 clinicians

Practice addresses (Care Compare)

201 Kimberly Way
Suite 102
Canton, GA 30114-8009
Phone (770) 333-7888

3903 S Cobb Sedr
Suite 200
Smyrna, GA 30080-6301
Phone (770) 333-7888

3968 Felton Hill Rd SW
Suite 100
Smyrna, GA 30082-3522
Phone 7703337888105

3968 Felton Hill SWRD
Suite 100
Smyrna, GA 30082-3522

6025 Professional Pkwy
Suite 200
Douglasville, GA 30134-5610
Phone (770) 333-7888

792 Church Nest
Suite 104
Marietta, GA 30060-7291
Phone (770) 333-7888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68809GAMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Dkumar LLC Surgery of the Hand CurrentSince Dec 15, 2012 Accepting new patients
Ahs Anesthesia LLC PastSince Jan 26, 2015 Accepting new patients
Carpus Surgery Center LLC PastSince Nov 5, 2016 Accepting new patients
Ulna Surgery Center LLC PastSince Apr 3, 2017 Accepting new patients

Locations

201 Kimberly Way
Ste 102
Canton, GA 30114
Phone (678) 214-6960

6025 Professional Pkwy
Ste 102
Douglasville, GA 30134
Phone (770) 489-5000

10730 Medlock Bridge Rd
Ste 200
Johns Creek, GA 30097

600 Professional Dr
Ste 100
Lawrenceville, GA 30046
Phone (678) 214-6960

3775 Roswell Rd
Ste 250
Marietta, GA 30062
Phone (678) 214-6960

792 Church St NE
Ste 104
Marietta, GA 30060
Phone (678) 214-6960

6115 Peachtree Dunwoody Rd
Ste 210
Sandy Springs, GA 30328
Phone (678) 214-6960

6115 Peachtree Dunwoody Rd
Ste 230
Sandy Springs, GA 30328

3903 S Cobb Dr SE
Ste 200
Smyrna, GA 30080
Phone (770) 435-3214

3968 Felton Hill Rd SW
Ste 100
Smyrna, GA 30082
Phone (678) 214-6960

3968 Felton Hill Rd SW
Ste 110
Smyrna, GA 30082

Interoperability endpoints

  • Direct secure messaging: swatson62170@directwellstar.org

Organizations & group practices 5

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 1

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": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1447540828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3968 FELTON HILL RD",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823522",
            "telephone_number": "770-333-7888",
            "fax_number": "770-333-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3968 FELTON HILL RD",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823522",
            "telephone_number": "770-333-7888",
            "fax_number": "770-333-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "STEVEN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "GA",
            "license": "68809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.