Individual provider Active NPI

Patrick J Watterson, PA-C

  • Pain Medicine Physician
  • High Point, NC
National Provider Identifier
1629187281
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
101888 Issued in NC
Practice address
507 N Lindsay St
High Point, NC 27262-4303
Phone
(336) 883-0029
Fax
(336) 883-0867
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 101888 NC Primary
Physician Assistant 363A00000X 101888 NC

Addresses

Primary practice location

507 N Lindsay St
High Point, NC 27262-4303

Mailing address

645 N Main St
High Point, NC 27260-5017
Phone (336) 883-0029

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000273 NC Practitioner - Physician Assistant 2668432758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethany Medical CenterGroup PAC ID 4486614575, 71 clinicians

Practice addresses (Care Compare)

108 W Main St
Suite E
Jamestown, NC 27282-9812
Phone (336) 883-0029

3402 Battleground Ave
Greensboro, NC 27410-2404
Phone (336) 883-0029

3604 Peters CT
High Point, NC 27265-9004
Phone (336) 883-0029

3605 Peters CT
High Point, NC 27265-9004
Phone (336) 883-0029

3610 Peters CT
High Point, NC 27265-9004
Phone (336) 883-0029

495 Arbor Hill Rd
Kernersville, NC 27284-3335
Phone (336) 883-0029

507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
70.27
Promoting interoperability
98
Improvement activities
40
Cost
77.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
101888NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Medical Center, PA Internal Medicine CurrentSince Oct 1, 1999 Accepting new patients
Bethany Medical Center Internal Medicine CurrentSince Oct 1, 1999 Accepting new patients
Bethany Medical Center PA Internal Medicine Past Accepting new patients
Bethany Medical Center, PA Internal Medicine Past Accepting new patients
Bethany Medical Center Past Accepting new patients

Locations

507 N Lindsay St
High Point, NC 27262

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

3610 Peters Ct
High Point, NC 27265

2805 S Main St
High Point, NC 27263
Phone (336) 431-1149

645 N Main St
High Point, NC 27260
Phone (336) 882-7700

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

Interoperability endpoints

  • Direct secure messaging: patrickwatterson@bethanymed.allscriptsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1629187281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605017",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624303",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERSON",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "101888",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.