Dr Watson Concierge Medicine, PLLC
NPI 1396497137ActiveOrganization· Family Medicine· Elizabethtown, KY
Family Medicine in Elizabethtown, Kentucky, registered in NPPES in January 2022. The authorized official on file is Andrea T. Watson, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396497137 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2022 |
| Last updated in NPPES | Jan 24, 2022 |
| Certified by provider | Jan 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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