Colene L Watkins, PA-C

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

1802 Issued in SC

Practice address

1300 Hospital Drive Suite 220
Mt. Pleasant, SC 29464-3538

Phone

(843) 936-6238

Fax

(843) 936-6239

NPI assigned

Jul 5, 2012

Last updated

May 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Colene L Bowerman Former name

Medicare fee-for-service enrollment

Enrolled in SC

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• PM Health Alliance, LLC

  dba Back 2 Health

  • Primary Care Nurse Practitioner
  • Goose Creek, SC
  • NPI 1326590746
  Medicare reassignment
• South Carolina ENT Allergy & Sleep Medicine PA

  • Otolaryngology Physician
  • Lugoff, SC
  • NPI 1134153083
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  SC

  Medicare reassignment
• Back 2 Health LLC

  • Chiropractor
  • Goose Creek, SC
  • NPI 1710144852
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1841555992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DRIVE SUITE 220",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "294643538",
            "telephone_number": "843-936-6238",
            "fax_number": "843-936-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DRIVE SUITE 220",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "294643538",
            "telephone_number": "843-936-6238",
            "fax_number": "843-936-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "COLENE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1802",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "SC",
            "license": "1802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLENE",
            "last_name": "BOWERMAN",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ayienne Waring, DNP, APRN, FNP-BC
• George Oral Waring IV, M.D.
• Amy S Warner, MD
• Faith Warren, LPC
• Susan Yarborough Warren, LPC
• Hollyn Elizabeth Watkins, M.S. CCC-SLP
• Jordan Watkins, LISW-CP
• Charlene Watson
• Courtney Diane Watson, PHARMD
• Jessica Leigh Watson, PA-C

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.