DR. CHARLES WATTS (NPI# 1376618793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376618793 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WATTS |
| Credential | D.C. |
| Practice Address |
5499 Jonesboro Rd Lake City GA 30260-3553 |
| Practice Telephone | 4043636460 |
| Practice Fax Number | 4043634348 |
| Mailing Telephone | 4043636460 |
| Mailing Fax Number | 4043634348 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR002353 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821430307 | Charles Evan Watts | Driver | 1069 Main Street, Champlain, NY 12919-5444 | 2013-07-24 |
| 1629143094 | Charles Arthur Watts | Dentist | 203 E Purisima, Refugio, TX 78377-0100 | 2006-11-21 |
| 1598864456 | Charles F Watts | Pharmacist | 4255 Brighten Ave, Springdale, AR 72762-0432 | 2006-09-21 |
| 1730546326 | Charles Earl Watts Jr. | Physician Assistant | 2412 N Oak St, Valdosta, GA 31602-2567 | 2016-01-27 |
| 1306089552 | Charles William Watts | Psychiatry & Neurology | 500 Foothill Dr, 111-bh, Salt Lake City, UT 84148-0001 | 2009-04-16 |
| 1114943800 | Charles Watts | Internal Medicine | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-07-14 |
| 1427001171 | Charles Reginald Watts | Neurological Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2006-05-17 |
| 1730180183 | Charles Hunter Watts | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70073-2400 | 2005-08-09 |
| Street Address |
5499 JONESBORO RD |
| City | LAKE CITY |
| State | GA |
| Zip Code | 30260-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063967842 | Timothy Mcknight | Ambulance | 5499 Jonesboro Rd, Lake City, GA 30260-3553 | 2016-08-22 |
| 1811370174 | Members Ems | Ambulance | 5499 Jonesboro Rd, Lake City, GA 30260-3553 | 2015-07-06 |
| 1952634909 | Lacy Medical Services LLC | Specialist | 5499 Jonesboro Rd, Lake City, GA 30260-3553 | 2009-09-09 |
| 1043495427 | Advanced Medical Clinics, P.C. | General Practice | 5499 Jonesboro Rd, Lake City, GA 30260-3553 | 2008-01-04 |
| 1215136890 | Synergy Medical Centers of Roswell, LLC | Chiropractor | 5499 Jonesboro Rd, Suite 240, Lake City, GA 30260-3553 | 2007-07-13 |
| 1053486456 | Dawn Wilson | Family Medicine | 5499 Jonesboro Rd, Lake City, GA 30260-3553 | 2006-11-21 |
| 1003981416 | John Parlier | Chiropractor | 5499 Jonesboro Rd, Lake City, GA 30260-3553 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766605 | C. Alexander Pediatrics LLC | Emergency Medicine | 2180 Rex Road, Morrow, GA 30260 | 2020-10-02 |
| 1578127627 | Osara Dhevmi Malalasekara | Student in an Organized Health Care Education/Training Program | Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 | 2019-04-24 |
| 1902360860 | Katrina Samuels | Technician | 5771 Trammell Rd. Morrow Ga, Morrow, GA 30260 | 2019-01-24 |
| 1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
| 1487184099 | Mamie Rochell Jinks | Driver | 1541 Lakeland Cir, Lake City, GA 30260 | 2017-06-15 |
| 1598202079 | Grace Misi Nteff | Nurse Practitioner | 1000 Clayton Village, Clayton State University, School of Nursing Community, Morrow, GA 30260 | 2017-01-23 |
| 1902357908 | Morrow Family Dentistry, P.C. | Clinic/Center | 6319a Jonesboro Road, Morrow, GA 30260 | 2016-10-14 |
| 1043679418 | Elite Rehab and Weightloss | Chiropractor | 1568 Southlake Pkwy Ste C, Morrow, GA 30260 | 2016-02-15 |
| 1659758985 | Clayton State University | Nurse Practitioner | 5809 Northlake Drive, Bldg 1000, Morrow, GA 30260 | 2015-05-06 |
| 1255731519 | Care First Private Home Care | In Home Supportive Care | 2380 Fairfield Court, Morrow, GA 30260 | 2014-08-23 |
| Find all providers in zip 30260 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295592 | Joshua M Wilson | Chiropractor | 444 Sw Alachua Avenue, Lake City, FL 32025-5213 | 2018-11-28 |
| 1487018222 | Lake City Spine & Injury, LLC | Chiropractor | 2057 Sw Main Blvd, Lake City, FL 32025-0021 | 2016-04-07 |
| 1841656527 | Chucky Sentell Jordan | Chiropractor | 263 Kelley St Ste 100, Lake City, SC 29560-2472 | 2016-01-11 |
| 1811179781 | Lake City Chiropractic and Massage | Chiropractor | 512 W Duval St, Lake City, FL 32055-3899 | 2007-12-03 |
| 1003000415 | Marshall Dean Webster | Chiropractor | 1478 Sw Sisters Welcome Rd, Lake City, FL 32025-1607 | 2007-08-29 |
| 1649481052 | Larry Fredric Radke | Chiropractor | 430 Sw Columbia Ave, Lake City, FL 32025-5254 | 2007-05-25 |
| 1356481386 | Shawn A Stephens | Chiropractor | 935 Sw Baya Dr, Lake City, FL 32025-4210 | 2007-02-07 |
| 1033266317 | Nathan Troy Schulz | Chiropractor | 925 S Oak St, Lake City, MN 55041-1856 | 2007-01-05 |
| 1205990066 | Terrell E Fowler IIi | Chiropractor | 111 N Matthews Rd, Lake City, SC 29560-2309 | 2006-12-19 |
| 1497813083 | Leroy Frank Otto | Chiropractor | 127 South High Street, Lake City, MN 55041-1637 | 2006-12-05 |
| Find all providers in LAKE CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.