Individual provider Active NPI

Leah Watts, PA-C

  • Physician Assistant
  • Clarkesville, GA
National Provider Identifier
1659835973
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009120
Practice address
5330 Highway 115
Clarkesville, GA 30523-6730
Phone
(706) 754-5991
Fax
(706) 754-6736
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009120 Primary

Addresses

Primary practice location

5330 Highway 115
Clarkesville, GA 30523-6730

Mailing address

5330 Highway 115
Clarkesville, GA 30523-6730
Phone (706) 754-5991

Other identifiers 1

IdentifierTypeStateIssuer
009120OtherMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190321002807 GA Practitioner - Physician Assistant 4688914005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Skin Cancer and Aestheitic Dermatology, LLC 25 clinicians

Practice addresses (Care Compare)

1180 Resurgence Dr
Suite 100
Watkinsville, GA 30677-7210

1180 Resurgence Dr
Suite 100
Watkinsville, GA 30677-7211
Phone 70654358583207

1656 Falls Rd
Suite B
Toccoa, GA 30577-2411
Phone (706) 543-5858

563 Mountain City Rd
Clayton, GA 30525-3072
Phone (706) 543-5858

Hospital & facility affiliations

  • Stephens County Hospital Hospital, Toccoa, GA, CCN 110032
  • Mountain Lakes Medical Center Hospital, Clayton, GA, CCN 111336
  • Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027

Merit-based Incentive Payment System (MIPS)

Final score
85.62 of 100Reported as group
Quality
78.23
Promoting interoperability
100
Improvement activities
40
Cost
73.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009120GAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: leah@georgiaderm.emadirect.md

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1659835973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 HIGHWAY 115",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305236730",
            "telephone_number": "706-754-5991",
            "fax_number": "706-754-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 HIGHWAY 115",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305236730",
            "telephone_number": "706-754-5991",
            "fax_number": "706-754-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "LEAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "009120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "009120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkesville, GA

Sources for this page

Verify at the official NPI Registry.