Kathie L Watson-Gray, M.D.
Individual provider Active NPI Family Medicine Physician · Flatwoods, KY
NPI 1851369904 · NPPES record last updated Jul 23, 2023
Key facts
- NPI
- 1851369904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35074290 (OH)
- Practice address
- 1610 Argillite Rd
Flatwoods, KY 41139-1372 - Phone
- (888) 756-4224
- Fax
- (888) 258-5785
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Pittsburgh School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1610 Argillite Rd
Flatwoods, KY 41139-1372
Phone (888) 756-4224
Hospital & facility affiliations
- King'S Daughters' Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100505000402 | KY | Practitioner - Family Practice |
6305974775 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35074290 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Health Care, PLLC | Family Medicine | Current |
Accepting new patients |
Locations
1212 Bath Ave
Ste 101
Ashland, KY 41101
Phone (606) 393-5613
2150 Carter Ave
Ashland, KY 41101
Phone (606) 325-1338
1610 Argillite Rd
Flatwoods, KY 41139
Phone (886) 756-4224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35074290 | OH | Yes |
Addresses
Primary practice location
1610 Argillite Rd
Flatwoods, KY 41139-1372
Mailing address
12955 State Route 207
Argillite, KY 41121-8743
Phone (888) 756-4224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2091150 | Medicaid | OH |
Other providers in Flatwoods, KY
- Seth Larence Thacker
- Megan Michelle Vernatter
- Robert Linton Wagner
- Walgreen Co
- James Anthony Ward
- Whitesville D S Inc
- Robert A Whittaker
- William Williams
- Claudia Woolley
- Chito Toledo Ymalay
All providers in Flatwoods, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.