Individual provider Active NPI

Davin Watson, M.D.

  • Diagnostic Radiology Physician
  • Lakeland, FL
National Provider Identifier
1679956817
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME142419 Issued in FL
Practice address
2125 Crystal Grove Dr
Lakeland, FL 33801-6875
Phone
(863) 688-2334
NPI assigned
Jul 7, 2015
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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 263930 MA
Diagnostic Radiology Physician 2085R0202X ME142419 FL Primary

Addresses

Primary practice location

2125 Crystal Grove Dr
Lakeland, FL 33801-6875

Mailing address

2125 Crystal Grove Dr
Lakeland, FL 33801-6875
Phone (863) 688-2334

Other practice location 1

52 W Underwood St
Orlando, FL 32806-1110
Phone (321) 842-8475

Other identifiers 4

IdentifierTypeStateIssuer
B769SOtherFLBCBS
107914000MedicaidFL
NS297OtherFLMEDICARE PTAN OHRI
PS940OtherFLMEDICARE PTAN OHMG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20201110000307 FL Practitioner - Diagnostic Radiology 6002109030 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Massachusetts Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Memorial Hospital L PGroup PAC ID 2062309164, 37 clinicians
Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians

Practice addresses (Care Compare)

2301 60TH St CT W
Suite C
Bradenton, FL 34209-5512
Phone (941) 708-8358

635 1St St N
Suite 101
Winter Haven, FL 33881-4129
Phone (863) 298-3512

7941 SW 79TH Dr
Telerad Ofc Watson
Gainesville, FL 32608-9516
Phone (863) 688-2334

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.74 of 100Reported as group
Quality
85
Improvement activities
40
Cost
74.49

Merit-based Incentive Payment System (MIPS)

Final score
71.5 of 100Reported as group
Quality
66.47
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263930MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohri, LLC CurrentSince Jan 19, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Ohi West Medical Group, LLC Diagnostic Radiology CurrentSince Nov 2, 2023 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2023 Accepting new patients
Ohri, LLC Diagnostic Radiology CurrentSince Jan 19, 2021 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology Current Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Aug 6, 2021 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Aug 6, 2021 Accepting new patients
Manatee Memorial Hospital L P Current Accepting new patients
Manatee Memorial Hospital LP CurrentSince Aug 6, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology PastSince May 15, 2024 Accepting new patients

Locations (25 of 41)

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

2250 Osprey Blvd
Ste 100
Bartow, FL 33830
Phone (863) 533-7151

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

2301 60th Street Ct W
Ste C
Bradenton, FL 34209
Phone (941) 708-8358

250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

40124 Highway 27
Davenport, FL 33837
Phone (863) 419-2500

3016 Dyer Blvd
Kissimmee, FL 34741
Phone (941) 782-9456

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1417 Lakeland Hills Blvd
Ste 102
Lakeland, FL 33805
Phone (863) 577-0316

2120 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 557-0303

2125 Crystal Grove Dr
Lakeland, FL 33801
Phone (863) 701-2225

2135 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1250

2400 Kathleen Rd
Lakeland, FL 33810
Phone (863) 284-6800

3221 S Florida Ave
Ste A
Lakeland, FL 33803
Phone (863) 577-8596

3221 S Florida Ave
Ste B
Lakeland, FL 33803
Phone (863) 577-0296

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

6150 S Florida Ave
Lakeland, FL 33813
Phone (863) 284-1693

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

8330 Lakewood Ranch Blvd
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 782-2100

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 16

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.

View all 16

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1679956817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CRYSTAL GROVE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016875",
            "telephone_number": "863-688-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 CRYSTAL GROVE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016875",
            "telephone_number": "863-688-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 W Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "321-842-8475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DAVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "263930",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME142419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "B769S",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107914000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OHRI",
            "identifier": "NS297",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OHMG",
            "identifier": "PS940",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.