Active NPI
Renee G Watson, MD
- Family Medicine Physician
- Smithfield, NC
National Provider Identifier
1669420089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9601754
- Practice address
- 713 Wilkins St
Smithfield, NC 27577-4647 - Phone
- (919) 934-1211
- Fax
- (919) 989-8189
- NPI assigned
- May 5, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9601754 | NC | Primary |
Addresses
Primary practice location
713 Wilkins St
Smithfield, NC 27577-4647
Mailing address
713 Wilkins St
Smithfield, NC 27577-4647
Phone (919) 934-1211
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10207 | Other | NC | BCBS |
| 02003 | Other | NC | BCBS |
| 8910207 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | reneewatson@jfm.allscriptsdirect.net | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Brody School of Medicine at East Carolina University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
713 Wilkins St
Smithfield, NC 27577-4647
Phone (919) 934-1211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01754 | NC | MD | Anesthesiology Physician |
| 9601754 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnston Family Medicine, PA | Family Medicine | Current | Accepting new patients |
Locations
713 Wilkins St
Smithfield, NC 27577
Phone (919) 934-1211
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10060350
- reneewatson@jfm.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Smithfield, NC
- NPI 1548331333
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gentiva
- Community Based Hospice Care Agency
- Henderson, NC
- NPI 1841247335
-
dba Heartland
- Community Based Hospice Care Agency
- Raleigh, NC
- NPI 1982303491
-
dba Johnston Health
- General Acute Care Hospital
- Smithfield, NC
- NPI 1619911104
-
dba Johnston Health Home Care and Hospice
- Home Health Agency
- Smithfield, NC
- NPI 1902845928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1669420089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 WILKINS ST",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774647",
"telephone_number": "919-934-1211",
"fax_number": "919-989-8189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 WILKINS ST",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774647",
"telephone_number": "919-934-1211",
"fax_number": "919-989-8189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "RENEE",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9601754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10207",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02003",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8910207",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "reneewatson@jfm.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "713 Wilkins St",
"city": "Smithfield",
"state": "NC",
"country_code": "US",
"postal_code": "275774647",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.