Individual provider Active NPI

W Mackey Watkins, M.D.

  • Internal Medicine Physician
  • Denison, TX
National Provider Identifier
1679527527
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D9710 Issued in TX
Practice address
5012 S US Highway 75
Suite 300
Denison, TX 75020-4587
Phone
(903) 416-6010
Fax
(903) 416-6183
NPI assigned
May 22, 2006
Last updated
Dec 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D9710 TX Primary
Nephrology Physician 207RN0300X D9710 TX

Addresses

Primary practice location

5012 S US Highway 75
Suite 300
Denison, TX 75020-4587

Mailing address

5012 S US Hwy 75, Suite 300
Attn Billing
Denison, TX 75020-4589
Phone (903) 416-6010

Other identifiers 2

IdentifierTypeStateIssuer
098998003MedicaidTX
100153440AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100909001119 TX Practitioner - NephrologyPractitioner - Internal Medicine 4789593427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TexomacareGroup PAC ID 3678555307, 47 clinicians

Practice addresses (Care Compare)

5012 S US Hwy 75
Suite 300
Denison, TX 75020-4589
Phone (903) 416-6015

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texomacare Internal Medicine CurrentSince Sep 6, 2011 Accepting new patients
Texomacare CurrentSince Sep 6, 2011 Accepting new patients
Uhs of Texoma Inc PastSince Apr 30, 2003 Accepting new patients

Locations

5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726

5012 US Highway 75
Ste 100
Denison, TX 75020
Phone (903) 416-6325

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

Interoperability endpoints

  • Direct secure messaging: w.watkins@tc.eclinicaldirectplus.com

Organizations & group practices 3

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 5

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1679527527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HWY 75, SUITE 300",
            "address_2": "ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75",
            "address_2": "SUITE 300",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-416-6010",
            "fax_number": "903-416-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "W",
        "middle_name": "MACKEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D9710",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "D9710",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098998003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100153440A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.