Robert Watson

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15187 Issued in MS

Practice address

5808 US Highway 11
Purvis, MS 39475

Phone

(601) 348-5460

Fax

(601) 348-1432

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wesley Physician Services LLCGroup PAC ID 2466559851, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health & Hospice Home health agency, Hattiesburg, MS, CCN 257091
• Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094

Merit-based Incentive Payment System (MIPS)

Final score

88.07 of 100Reported as apm

Quality

73.89

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
• Direct secure messaging: robert.watson.1@1930.direct.athenahealth.com

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.

• Wesley Physician Services LLC

  • Family Medicine Physician
  • Hattiesburg, MS
  • NPI 1538200209
  Medicare reassignment Care Compare group NPD
• Copiah County Medical Center

  • Rural Health Clinic/Center
  • Crystal Springs, MS
  • NPI 1972603819

  Family Medicine

  Medicare reassignment NPD
• Quality Medical Clinic, Inc.

  • Internal Medicine Physician
  • Columbia, MS
  • NPI 1720497936
  Medicare reassignment NPD
• Copiah County Medical Center

  • Family Medicine Physician
  • Hazlehurst, MS
  • NPI 1356448591
  NPD
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Home Health Care Systems, Inc.

  • Home Health Agency
  • Hattiesburg, MS
  • NPI 1760416754
  Care Compare affiliation
• Wesley Health System LLC

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1841241841
  Care Compare affiliation

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1669413233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 US HIGHWAY 11",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394755052",
            "telephone_number": "601-348-5460",
            "fax_number": "601-348-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 US HIGHWAY 11",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "39475",
            "telephone_number": "601-348-5460",
            "fax_number": "601-348-1432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5808 US Highway 11",
            "address_purpose": "LOCATION",
            "city": "Purvis",
            "state": "MS",
            "postal_code": "39475",
            "country_code": "US",
            "telephone_number": "601-348-5460",
            "fax_number": "601-348-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "15187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.watson.1@1930.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "5808 US Highway 11",
            "city": "Purvis",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah M Tucker, FNP
• Monica Turk
• Kaitlyn Rousse Warren, DO
• Andrea Watson, PCCCSS
• Mayantoinette Watson
• Wesley Physician Services LLC
• Stacy White, LMFT
• Jacklyn Danise Wilkes
• Tokikie Williamson, LMSW
• Kimberly Woods, APRN

• Family Medicine Physician in Purvis, MS
• Providers in Purvis, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.

Verify at the official NPI Registry.