Organization Active NPI

M. Paul Watson, M.D. a Medical Corporation

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1487822946
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
012676 Issued in LA
Legal business name
M. PAUL WATSON, M.D. A MEDICAL CORPORATION
Practice address
8649 Highway 165 N Ste 3
Monroe, LA 71203-8965
Phone
(318) 388-1662
Fax
(318) 388-1666
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Dr. Paul Watson, M. D.
Title
Owner
Phone
(318) 388-1662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 012676 LA Primary

Addresses

Primary practice location

8649 Highway 165 N Ste 3
Monroe, LA 71203-8965

Mailing address

8649 Highway 165 N Ste 3
Monroe, LA 71203-8965
Phone (318) 388-1662

Other identifiers 1

IdentifierTypeStateIssuer
1025178MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080220000186 LA Part B Supplier - Clinic/Group Practice 6002990751 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, LA

National Provider Directory

National Provider Directory

Locations

8649 Highway 165 N
Ste 3
Monroe, LA 71203
Phone (318) 388-1662

3510 Medical Park Dr
Ste 1
Monroe, LA 71203
Phone (318) 368-4393

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1487822946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8649 HIGHWAY 165 N STE 3",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038965",
            "telephone_number": "318-388-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8649 HIGHWAY 165 N STE 3",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038965",
            "telephone_number": "318-388-1662",
            "fax_number": "318-388-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. PAUL WATSON, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-388-1662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "012676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025178",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.