Individual provider Active NPI

Elizabeth Watkins, MD

  • Pediatrics Physician
  • Stockbridge, GA
National Provider Identifier
1932373420
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
65633 Issued in GA
Practice address
1510 Hudson Bridge Rd
Stockbridge, GA 30281-5020
Phone
(404) 785-8660
Fax
(404) 785-8730
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 65633 GA Primary

Addresses

Primary practice location

1510 Hudson Bridge Rd
Stockbridge, GA 30281-5020

Mailing address

1510 Hudson Bridge Rd
Stockbridge, GA 30281-5020
Phone (404) 785-8660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address choa@choa.gadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140602000444 GA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 4385867829 Reassigns benefits to 2 organizations
I20230921000326 LA Practitioner - Pediatric Medicine 4385867829 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65633GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC CurrentSince Feb 12, 2015 Accepting new patients
Childrens Hospital Medical Practice Corporation Pediatrics CurrentSince Aug 1, 2023 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2023 Accepting new patients
Children'S Hospital Pediatrics CurrentSince Dec 9, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2023 Accepting new patients
The Bortolazzo Group, LLC CurrentSince Mar 3, 2014 Accepting new patients
Children'S Hospital CurrentSince Dec 9, 2024 Accepting new patients
Pediakare of Newnan, Inc Pediatrics Past Accepting new patients
University Healthcare System, L.C. Past Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4740 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 988-5458

4740 S I 10 Service Rd W
Ste 2
Metairie, LA 70001

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

1430 Tulane Ave
#8050
New Orleans, LA 70112
Phone (504) 988-7808

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1932373420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 HUDSON BRIDGE RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815020",
            "telephone_number": "404-785-8660",
            "fax_number": "404-785-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 HUDSON BRIDGE RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815020",
            "telephone_number": "404-785-8660",
            "fax_number": "404-785-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "65633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "1510 Hudson Bridge Rd",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302815020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.