Individual provider Active NPI

Michael Roland Watkins, M.D.

  • Obstetrics & Gynecology Physician
  • Spartanburg, SC
National Provider Identifier
1548229412
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17828 Issued in SC
Practice address
853 N Church St
Suite 700
Spartanburg, SC 29303-3098
Phone
(864) 560-6164
Fax
(864) 560-7092
NPI assigned
Mar 20, 2006
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17828 SC Primary

Addresses

Primary practice location

853 N Church St
Suite 700
Spartanburg, SC 29303-3098

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other identifiers 1

IdentifierTypeStateIssuer
178284MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwatkins9193@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100626000225 SC Practitioner - Obstetrics/Gynecology 6709917347 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17828SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology CurrentSince Mar 1, 2025 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology CurrentSince Aug 17, 1999 Accepting new patients
Spartanburg Medical Center CurrentSince Aug 17, 1999 Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology CurrentSince Mar 1, 2025 Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

724 Hyatt St
Gaffney, SC 29341
Phone (864) 488-3980

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

853 N Church St
Ste 600
Spartanburg, SC 29303
Phone (864) 583-4556

1686 Skylyn Dr
Ste 101
Spartanburg, SC 29307
Phone (864) 560-3456

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

475 Heywood Ave
Spartanburg, SC 29307
Phone (864) 699-5020

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

853 N Church St
Ste 700
Spartanburg, SC 29303
Phone (864) 560-6164

250 North Grove Medical Park Dr
Spartanburg, SC 29303
Phone (864) 208-2345

Interoperability endpoints

  • Direct secure messaging: mwatkins9193@direct-srhs.et0939.epichosted.com

Organizations & group practices 7

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1548229412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 N CHURCH ST",
            "address_2": "SUITE 700",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033098",
            "telephone_number": "864-560-6164",
            "fax_number": "864-560-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "MICHAEL",
        "middle_name": "ROLAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "17828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178284",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwatkins9193@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mwatkins9193@direct-srhs.et0939.epichosted.com",
            "address_1": "853 N Church St",
            "address_2": "Suite 700",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.