Individual provider Active NPI

Charles Stephen Watras, MD

  • Family Medicine Physician
  • Murphy, NC
National Provider Identifier
1891772737
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38238 Issued in NC
Practice address
3765 E US 64 Alt Ste 7
Murphy, NC 28906-6967
Phone
(828) 835-8733
Fax
(828) 835-8732
NPI assigned
Dec 30, 2005
Last updated
Jun 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38238 NC Primary
Family Medicine Physician 207Q00000X MD11633 TN

Addresses

Primary practice location

3765 E US 64 Alt Ste 7
Murphy, NC 28906-6967

Mailing address

3765 E US 64 Alt Ste 7
Murphy, NC 28906-6967
Phone (828) 835-8733

Other identifiers 1

IdentifierTypeStateIssuer
8986024MedicaidNC

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
I20040819001549 NC Practitioner - Family Practice 4284619354 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11633TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles S Watras MD PLLC Family Medicine CurrentSince May 15, 2010 Accepting new patients
Baymark Health Services of North Carolina, Inc. CurrentSince May 15, 2023 Accepting new patients

Locations

7540 Highway 64 W
Brasstown, NC 28902
Phone (828) 837-5335

3765 E US 64 Alt
Ste 7
Murphy, NC 28906
Phone (423) 761-0085

3905 Highway 64 E
Ste 7
Murphy, NC 28906
Phone (828) 835-8733

Interoperability endpoints

  • Direct secure messaging: charles.watras.1@8877.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8877/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1891772737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 E US 64 ALT STE 7",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066967",
            "telephone_number": "828-835-8733",
            "fax_number": "828-835-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 E US 64 ALT STE 7",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066967",
            "telephone_number": "828-835-8733",
            "fax_number": "828-835-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATRAS",
        "first_name": "CHARLES",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "38238",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD11633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8986024",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.