Individual provider Active NPI

Ramon Forrest Watts, D.C.

  • Chiropractor
  • Cumming, GA
National Provider Identifier
1538108170
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5486 Issued in GA
Practice address
309 Pirkle Ferry Rd
Cumming, GA 30040-2545
Phone
(770) 886-7070
Fax
(770) 886-6097
NPI assigned
Jun 6, 2006
Last updated
Mar 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5486 GA Primary

Addresses

Primary practice location

309 Pirkle Ferry Rd
Cumming, GA 30040-2545

Mailing address

309 Pirkle Ferry Rd
Cumming, GA 30040-2545
Phone (770) 886-7070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110208000931 GA Practitioner - Chiropractic 4880769769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

309 Pirkle Ferry Rd
Cumming, GA 30040-2545

309 Pirkle Ferry Rd
Suite 100
Cumming, GA 30040-2537

309 Pirkle Ferry Rd
Suite E100
Cumming, GA 30040-2552
Phone (770) 886-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5486GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Watts Chiropractic Clinic P C Chiropractor CurrentSince Jan 22, 1996 Accepting new patients
Dahlonega Chiropractic Clinic LLC Chiropractor PastSince Jan 7, 2008 Accepting new patients

Locations

309 Pirkle Ferry Rd
#100
Cumming, GA 30040
Phone (678) 947-4554

309 Pirkle Ferry Rd
Ste E100
Cumming, GA 30040
Phone (770) 886-7070

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1538108170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PIRKLE FERRY RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402545",
            "telephone_number": "770-886-7070",
            "fax_number": "770-886-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PIRKLE FERRY RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402545",
            "telephone_number": "770-886-7070",
            "fax_number": "770-886-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "RAMON",
        "middle_name": "FORREST",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.