Tiffany L Bolden-Watkins, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

69677 Issued in GA

Practice address

505 City Blvd
Waycross, GA 31501-8003

Phone

(912) 490-2229

Fax

(912) 490-9023

NPI assigned

Mar 23, 2009

Last updated

Apr 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Specialty

Obstetrics/Gynecology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baton Rouge General Medical CenterGroup PAC ID 4082600077, 58 clinicians

Obhg Louisiana LLCGroup PAC ID 9234443250, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tboldenwatkins170431@direct-guthrie.org
• Direct secure messaging: tiffany.boldenwatkins@mhs.gadirect.net

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.

• Baton Rouge General Medical Center

  dba Baton Rouge General Surgical Associates

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1215199724
  Medicare reassignment Care Compare group NPD
• Obhg Louisiana, LLC

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1639567316

  LA

  Medicare reassignment Care Compare group NPD
• DHP of Piedmont PC

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1316202609
  Medicare reassignment NPD
• Mayo Clinic Health System in Waycross, Inc.

  • Multi-Specialty Clinic/Center
  • Waycross, GA
  • NPI 1154745982
  Medicare reassignment NPD
• Obhg Georgia, P.C.

  • Obstetrics & Gynecology Physician
  • Athens, GA
  • NPI 1750686838
  Medicare reassignment NPD
• DHP of Louisiana PC

  • Obstetrics & Gynecology Physician
  • Alexandria, LA
  • NPI 1013303056
  Medicare reassignment NPD
• East Jefferson Physicians Group LLC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1922293372
  Medicare reassignment NPD
• Obtelecare Louisiana LLC

  • Maternal & Fetal Medicine Physician
  • Alexandria, LA
  • NPI 1245185982
  Medicare reassignment
• Mayo Clinic Health System in Waycross, Inc.

  • Rehabilitation Hospital Unit
  • Waycross, GA
  • NPI 1548322084
  NPD
• Baton Rouge General Medical Center

  dba Baton Rouge General Hospital Specialists

  • Neurological Surgery Physician
  • Baton Rouge, LA
  • NPI 1285887844
  NPD
• Baton Rouge General Medical Center

  dba BRG Comprehensive Care Center

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1407346984
  NPD
• Integrated Regional Laboratories Pathology Services, LLC

  dba IRL Pathology Services

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlantis, FL
  • NPI 1942526298
  NPD

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1982845897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CITY BLVD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315018003",
            "telephone_number": "912-490-2229",
            "fax_number": "912-490-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CITY BLVD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315018003",
            "telephone_number": "912-490-2229",
            "fax_number": "912-490-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN-WATKINS",
        "first_name": "TIFFANY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "302780",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.206395",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "69677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scotty Blanchard Jr., DMD
• Hazel Blaylock-Lawson, PT
• James H Bloodworth, MD
• Bobby Bennett Host Home (Satilla Community Services)
• Lydia C Boggs
• Bone and Joint Institute of South Georgia, P.C.
• Yolanda Machelle Borders, M.D.
• Drew Robert Borgholthaus, DMD
• Christopher Bowers, AAS, NRP
• Deena M. Boyd

• Obstetrics & Gynecology Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.