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Dawn Jayelynn Watkins, M.D.

Individual provider Active NPI Family Medicine Physician · Hurley, MS

NPI 1912967795 · NPPES record last updated Sep 13, 2013

Key facts

NPI
1912967795
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
21648 (MS)
Practice address
7001 Hwy 614
Hurley, MS 39555
Phone
(228) 588-2938
Fax
(228) 588-9399
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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 65

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 65

Medicare Care Compare profile

Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceed Physical Therapy, LLC (72 clinicians)
Singing River Health System (290 clinicians)

Practice addresses (Care Compare)

12261 Hwy 49
Gulfport, MS 39503-2976
Phone (228) 265-7185

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 818-0563

Hospital & facility affiliations

  • Vitalcaring Group Home health agency · Gulfport, MS · CCN 257090
  • Deaconess Homecare- Region I Home health agency · Laurel, MS · CCN 257085
  • Singing River Health System Hospital · Pascagoula, MS · CCN 250040
  • Singing River Gulfport Hospital · Gulfport, MS · CCN 250123
  • Memorial Hospital at Gulfport Hospital · Gulfport, MS · CCN 250019

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20111221000302 MS Practitioner - Family Practice 1658385869 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21648MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System Current
since Dec 12, 2011		 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

2819 Denny Ave
Pascagoula, MS 39581
Phone (228) 762-3466

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101238363 VA
Family Medicine Physician 207Q00000X 21648 MS Yes

Addresses

Primary practice location

7001 Hwy 614
Hurley, MS 39555

Mailing address

PO Box 850
Hurley, MS 39555-0850
Phone (228) 588-2938

Other identifiers

IdentifierTypeStateIssuer
010259037MedicaidVA

Other providers in Hurley, MS

All providers in Hurley, MS · Family Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.