Individual provider Active NPI

Julian Major Watkins Sr., MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Eastpointe, MI
National Provider Identifier
1972116192
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704286664 Issued in MI
Practice address
22480 Kelly Rd
Eastpointe, MI 48021-2623
Phone
(586) 585-9119
Fax
(586) 585-9947
NPI assigned
Aug 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704286664 MI Primary

Addresses

Primary practice location

22480 Kelly Rd
Eastpointe, MI 48021-2623

Mailing address

22480 Kelly Rd
Eastpointe, MI 48021-2623
Phone (586) 585-9119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20210419002581 MI Practitioner - Nurse Practitioner 1759799489 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
SJMH Medical Practice-SMHC CurrentSince Jan 16, 2021 Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Jan 16, 2021 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

Interoperability endpoints

  • Direct secure messaging: jwatkins31879@direct.trinity-health.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1972116192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22480 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212623",
            "telephone_number": "586-585-9119",
            "fax_number": "586-585-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22480 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212623",
            "telephone_number": "586-585-9119",
            "fax_number": "586-585-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JULIAN",
        "middle_name": "MAJOR",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704286664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

Verify at the official NPI Registry.