Active NPI
Michael Kenneth Watterson, MD, FACR
- Rheumatology Physician
- Greenville, NC
National Provider Identifier
1477548584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 2021-01962
- Practice address
- 1850 W Arlington Blvd
Greenville, NC 27834-5704 - Phone
- (252) 752-6101
- Fax
- (252) 752-6600
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 2021-01962 | NC | Primary |
Addresses
Primary practice location
1850 W Arlington Blvd
Greenville, NC 27834-5704
Mailing address
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-6101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Brody School of Medicine at East Carolina University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proactive Therapy of North Carolina Inc
Practice addresses (Care Compare)
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 413-6641
2303 Wellington Dr SW
Wilson, NC 27893-8620
Phone (252) 243-6818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians East, PA | Current | Accepting new patients | |
| Physicians East, P.a. | Rheumatology | Current | Accepting new patients |
| Lung Center, PC | Past | Accepting new patients | |
| Physicians East PA | Past | Accepting new patients | |
| Summit Medical Group,PLLC | Past | Accepting new patients | |
| Summit Medical Group PLLC | Past | Accepting new patients | |
| Arthritis Specialists of Nashville Inc | Rheumatology | Past | Accepting new patients |
| Columbia Regional Medical Center, LLC | Rheumatology | Past | Accepting new patients |
Locations
1850 W Arlington Blvd
Greenville, NC 27834
Phone (252) 413-6641
Interoperability endpoints
- michaelwatterson@pepa.medalliesdirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Greenville, NC
- NPI 1205884939
-
- Multi-Specialty Clinic/Center
- Farmville, NC
- NPI 1033115407
-
- Rheumatology Physician
- Nashville, TN
- NPI 1114914579
-
- Specialist
- Columbia, TN
- NPI 1396741120
-
- Family Medicine Physician
- Oak Ridge, TN
- NPI 1437238797
-
- Internal Medicine Physician
- Cookeville, TN
- NPI 1588362164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1477548584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704",
"telephone_number": "252-752-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704",
"telephone_number": "252-752-6101",
"fax_number": "252-752-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTERSON",
"first_name": "MICHAEL",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "MD, FACR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NC",
"license": "2021-01962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.