Active NPI
Leah Watts, PA-C
- Physician Assistant
- Clarkesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009120 | Other | MEDICAL 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Mountain Lakes Medical Center
- Ty Cobb Regional Medical Center, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.62 of 100
- Quality
- 78.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009120 | GA | MD | Internal Medicine Physician |
Interoperability endpoints
- 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.
-
- Dermatology Physician
- Watkinsville, GA
- NPI 1205026168
GA
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clayton, GA
- NPI 1326191180
Hospital
-
- Rural Acute Care Hospital
- Lavonia, GA
- NPI 1518354778
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.