Individual provider Active NPI

Linwood Worth Watson, MD

  • Family Medicine Physician
  • Knightdale, NC
National Provider Identifier
1790789394
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2004-00773 Issued in NC
Practice address
6602 Knightdale Blvd
Suite 102
Knightdale, NC 27545-7130
Phone
(919) 747-5210
Fax
(919) 747-5211
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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 2004-00773 NC Primary

Addresses

Primary practice location

6602 Knightdale Blvd
Suite 102
Knightdale, NC 27545-7130

Mailing address

6602 Knightdale Blvd
Suite 102
Knightdale, NC 27545-7130
Phone (919) 747-5210

Other identifiers 1

IdentifierTypeStateIssuer
89138EAMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwatson3468@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040813000989 NC Practitioner - Family Practice 2163495532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

6602 Knightdale Blvd
Suite 102
Knightdale, NC 27545-6526
Phone (919) 747-5210

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004-00773NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC CurrentSince Jun 1, 2025 Accepting new patients
Rex Hospital, Inc. Past Accepting new patients
North Raleigh Ophthalmology, P.a. Past Accepting new patients
Rex Hospital Inc Past Accepting new patients
Capital Family Medicine, P.a. PastSince Apr 1, 2025 Accepting new patients

Locations

781 Avent Ferry Rd
Ste 102
Holly Springs, NC 27540
Phone (919) 567-6120

6602 Knightdale Blvd
Ste 102
Knightdale, NC 27545
Phone (919) 747-5210

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: lwatson3468@direct.unc.nchie.net

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1790789394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 KNIGHTDALE BLVD",
            "address_2": "SUITE 102",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457130",
            "telephone_number": "919-747-5210",
            "fax_number": "919-747-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 KNIGHTDALE BLVD",
            "address_2": "SUITE 102",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457130",
            "telephone_number": "919-747-5210",
            "fax_number": "919-747-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LINWOOD",
        "middle_name": "WORTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2004-00773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138EA",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwatson3468@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "6602 Knightdale Blvd",
            "address_2": "Suite 102",
            "city": "Knightdale",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275457130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.