Individual provider Active NPI

Joseph E Watters, PA-C

  • Surgical Physician Assistant
  • Gadsden, AL
National Provider Identifier
1730140294
Registry record updated Oct 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA-055 Issued in AL
Practice address
100 Medical Center Dr
Suite 205
Gadsden, AL 35903-1134
Phone
(256) 456-0226
Fax
(256) 456-0231
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gadsden Regional Physician Group Practice LLC 31 clinicians

Practice addresses (Care Compare)

1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4000

Hospital & facility affiliations

  • Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040710000321 AL Practitioner - Physician Assistant 6901884451 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
344ALMDAthletic Trainer
PA-055ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden Regional Primary Care LLC Past Accepting new patients
Cardiovascular Surgical Associates Past Accepting new patients
Pegasus Emergency Group Gadsden, LLC Past Accepting new patients
Central Alabama Emergency Physicians, LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA-055 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

100 Medical Center Dr
Suite 205
Gadsden, AL 35903-1134

Mailing address

100 Medical Center Dr
Suite 205
Gadsden, AL 35903-1134
Phone (256) 456-0226

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
168709MedicaidAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 8, 2016.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475884800000",
    "number": "1730140294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "address_2": "SUITE 205",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031134",
            "telephone_number": "256-456-0226",
            "fax_number": "256-456-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "address_2": "SUITE 205",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031134",
            "telephone_number": "256-456-0226",
            "fax_number": "256-456-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2016-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA-055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168709",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.