Active NPI
Alpha J Watson, MD
- Pulmonary Disease Physician
- Macon, GA
National Provider Identifier
1972584530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 026043
- Practice address
- 380 Hospital Dr
BLDG a Ste 430
Macon, GA 31217-8001 - Phone
- (478) 744-2445
- Fax
- (478) 744-0906
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 026043 | GA | |
| Pulmonary Disease Physician | 207RP1001X | 026043 | GA | Primary |
Addresses
Primary practice location
380 Hospital Dr
BLDG a Ste 430
Macon, GA 31217-8001
Mailing address
380 Hospital Dr
BLDG a Ste 430
Macon, GA 31217-8001
Phone (478) 744-2445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00065438 | Other | GA | MEDICARE RAILROAD |
| 000303498E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052789 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalists at Fairview Park, LLC | Past | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients |
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.
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Hospitalist Physician
- Dublin, GA
- NPI 1336300649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1972584530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 HOSPITAL DR",
"address_2": "BLDG A STE 430",
"city": "MACON",
"state": "GA",
"postal_code": "312178001",
"telephone_number": "478-744-2445",
"fax_number": "478-744-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 HOSPITAL DR",
"address_2": "BLDG A STE 430",
"city": "MACON",
"state": "GA",
"postal_code": "312178001",
"telephone_number": "478-744-2445",
"fax_number": "478-744-0906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ALPHA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "026043",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "026043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00065438",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000303498E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.