Active NPI
Joseph E Watters, PA-C
- Surgical Physician Assistant
- Gadsden, AL
National Provider Identifier
1730140294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA-055
- 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.
-
- Internal Medicine Physician
- Gadsden, AL
- NPI 1558506550
AL
-
- Specialist
- Gadsden, AL
- NPI 1578610705
-
- Emergency Medicine Physician
- Boaz, AL
- NPI 1992952964
-
- Family Medicine Physician
- Rainbow City, AL
- NPI 1972566743
-
- Emergency Medicine Physician
- Gadsden, AL
- NPI 1669706214
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
Practice addresses (Care Compare)
1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4000
Hospital & facility affiliations
- Gadsden Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.97 of 100
- 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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 344 | AL | MD | Athletic Trainer |
| PA-055 | AL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA-055 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168709 | Medicaid | AL |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2016; 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.