Casey Elizabeth Watkins (NPI# 1790047124, PAC ID# 3072806629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1790047124 |
| PAC ID by PECOS | 3072806629 |
| Professional Enrollment ID | I20160720001421 |
| Full Name | Casey Elizabeth Watkins |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF KINGSPORT, P.C. |
| Address |
1021 W Oakland Ave Suite 102 Johnson City TN 37604-2192 |
| Phone Number | 4239289014 |
| Gender | F |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3971578816 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440176 | INDIAN PATH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1021 W Oakland Ave, Suite 102, Johnson City, TN 37604-2192 | 4239289014 | DERMATOLOGY ASSOCIATES OF KINGSPORT, P.C. |
| 2300 W Stone Dr, Kingsport, TN 37660-2360 | 4232464961 | DERMATOLOGY ASSOCIATES OF KINGSPORT, P.C. |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF KINGSPORT, P.C. |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lillian Amber Mccall | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2885 Boones Creek Rd, Johnson City, TN 37615-4661 |
| Holly A Sanders | Dermatology | Dermatology Associates of Kingsport, P.C. | 1021 W Oakland Ave, Suite 102, Johnson City, TN 37604-2192 |
| Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Kyle Phillip Radack | Dermatology | Dermatology Associates of Kingsport, P.C. | 3183 W State St, Bristol, TN 37620-1712 |
| Julia Erin Reid | Dermatology | Dermatology Associates of Kingsport, P.C. | 3183 W State St, Bristol, TN 37620-1712 |
| James Patrick Rash | Dermatology | Dermatology Associates of Kingsport, P.C. | 3183 W State St, Bristol, TN 37620-1712 |
| Jennifer M Barham | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 3183 W State St, Bristol, TN 37620-1712 |
| Allison M Pierce | Dermatology | Dermatology Associates of Kingsport, P.C. | 3183 W State St, Bristol, TN 37620-1712 |
| Chadwick J Thomas | Dermatology | Dermatology Associates of Kingsport, P.C. | 2885 Boones Creek Rd, Johnson City, TN 37615-4661 |
| Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Street Address |
1021 W OAKLAND AVE SUITE 102 |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37604-2192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly A Sanders | Dermatology | Dermatology Associates of Kingsport, P.C. | 1021 W Oakland Ave, Suite 102, Johnson City, TN 37604-2192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elnora Spradling | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Stephen A Cradic | Chiropractic | 206 Headtown Rd, Suite 100, Jonesbourough, TN 37604 | |
| Shweta Kharalkar | Hospitalist | Blue Ridge Medical Management Corporation | 408 N State of Franklin, Suite 24, Johnson City, TN 37604 |
| Devapiran Jaishankar | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jamie E Carnell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Sakshi Singal | Hematology/oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Selma Zukic Kominek | Neurosurgery | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Kanishka Chakraborty | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Adam Horn | Nurse Practitioner | Blue Ridge Medical Management Corporation | 403 N State of Franklin Rd, Johnson City, TN 37604-0000 |
| Find all physicians in zip 37604 | |||
| City | JOHNSON CITY |
| Zip Code | 37604 |
| Specialty | DERMATOLOGY |
| City + Specialty | JOHNSON CITY + DERMATOLOGY |
Please comment or provide details below to improve the information on Casey Elizabeth Watkins.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.