NPIMap

Individual provider Active NPI

Sonia R Watley, MD

  • Family Medicine Physician
  • Adairsville, GA
National Provider Identifier
1770878498
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
85577 Issued in GA
Practice address
21 Commerce Pkwy
Adairsville, GA 30103-2009
Phone
(770) 773-9201
Fax
(770) 773-9219
NPI assigned
Jun 10, 2011
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 85577 GA Primary

Addresses

Primary practice location

21 Commerce Pkwy
Adairsville, GA 30103-2009

Mailing address

PO Box 12938
C/O Clinic Management
Calhoun, GA 30703
Phone (706) 602-7800

Other names 1

  • Sonia Rosalin Quinteros Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200910000375 GA Practitioner - Family Practice 1850518184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System Georgia IncGroup PAC ID 4486568037, 247 clinicians

Practice addresses (Care Compare)

21 Commerce Pkwy
Adairsville, GA 30103-2009
Phone (770) 773-9201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.79 of 100Reported as group
Quality
68.23
Promoting interoperability
100
Improvement activities
40
Cost
74.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85577GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Georgia Inc CurrentSince Aug 17, 2020 Accepting new patients
Heart of Texas Community Health Center, Inc Family Medicine PastSince May 16, 2018 Accepting new patients
Adventist Health System Georgia, Inc. PastSince Aug 2, 2020 Accepting new patients

Locations

21 Commerce Pkwy
Adairsville, GA 30103
Phone (770) 769-4547

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

Interoperability endpoints

  • Direct secure messaging: swatley661443@adventhealth.direct-ci.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 3

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1770878498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12938",
            "address_2": "C/O CLINIC MANAGEMENT",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "30703",
            "telephone_number": "706-602-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COMMERCE PKWY",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "301032009",
            "telephone_number": "770-773-9201",
            "fax_number": "770-773-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATLEY",
        "first_name": "SONIA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "85577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "QUINTEROS",
            "middle_name": "ROSALIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Adairsville, GA

Sources for this page

Verify at the official NPI Registry.