Individual provider Active NPI

Joseph R Watkins, M.D.

  • Neurology Physician
  • South Jordan, UT
National Provider Identifier
1659396695
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
1706651205 Issued in UT
Practice address
912 W Baxter Dr Ste 120
South Jordan, UT 84095-5876
Phone
(801) 666-7220
Fax
(801) 432-8466
NPI assigned
Jul 12, 2006
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 1706651205 UT Primary

Addresses

Primary practice location

912 W Baxter Dr Ste 120
South Jordan, UT 84095-5876

Mailing address

912 W Baxter Dr Ste 120
South Jordan, UT 84095-5876
Phone (801) 666-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040126000303 UT Practitioner - Neurology 9830091222 Reassigns benefits to 1 organization
I20070220000316 WY Practitioner - Neurology 9830091222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Baylor College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheyenne Regional Physicians Group LLCGroup PAC ID 2961403639, 101 clinicians

Practice addresses (Care Compare)

4116 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 635-7961

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1706651205UTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Center LLC CurrentSince Feb 8, 2019 Accepting new patients
Cheyenne Regional Physicians Group, LLC CurrentSince Feb 17, 2013 Accepting new patients

Locations

3152 N University Ave
Provo, UT 84604
Phone (801) 229-2002

3152 N University Ave
Ste 120
Provo, UT 84604
Phone (801) 375-2177

3152 N University Ave
Ste 220
Provo, UT 84604
Phone (801) 229-1014

2301 House Ave
Ste 201
Cheyenne, WY 82001
Phone (307) 635-9131

4116 Laramie St
Cheyenne, WY 82001
Phone (307) 634-9311

Interoperability endpoints

  • Direct secure messaging: jwatkins6861@direct.crmcwy.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1659396695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W BAXTER DR STE 120",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955876",
            "telephone_number": "801-666-7220",
            "fax_number": "801-432-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W BAXTER DR STE 120",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955876",
            "telephone_number": "801-666-7220",
            "fax_number": "801-432-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "1706651205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.