Dwayne L Watkins (NPI# 1174543276, PAC ID# 4981518529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1174543276 |
PAC ID by PECOS | 4981518529 |
Professional Enrollment ID | I20031118000082 |
Full Name | Dwayne L Watkins |
Organization Legal Name | HEARTLAND HEALTHCARE PC |
Address |
327 S 9th St Griffin GA 30224-4111 |
Phone Number | 7702339293 |
Gender | M |
Credential | MD |
Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
Graduation Year | 2000 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | FAMILY PRACTICE |
Group Practice PAC ID | 4789672700 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
111303 | JASPER MEMORIAL HOSPITAL |
110031 | WELLSTAR SPALDING REGIONAL HOSPITAL |
111319 | WELLSTAR SYLVAN GROVE HOSPITAL |
Address | Phone | Organization |
---|---|---|
327 S 9th St, Griffin, GA 30224-4111 | 7702339293 | HEARTLAND HEALTHCARE PC |
Organization Legal Name | HEARTLAND HEALTHCARE PC |
Physicians | 1 |
Street Address |
327 S 9TH ST |
City | GRIFFIN |
State | GA |
Zip | 30224-4111 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jolina Pamela C Santos | Nephrology | Peach State Nephrology | 619 S St, Suite 100, Griffin, GA 30224 |
Sonu Singh | Nephrology | Peach State Nephrology | 619 S St, Suite 100, Griffin, GA 30224 |
James J Clark | Optometry | 210 S 16th St, Griffin, GA 30224-2663 | |
Angela Parker | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
Vicky E Mack | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 621 Carver Rd, Griffin, GA 30224-3937 |
Nballu Goba | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
Carlena Plunkett | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
Latonia Michelle Trawick | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
Stephanie Nichole Van Dine | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
Susannah Goodman | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
Find all physicians in zip 30224 |
City | GRIFFIN |
Zip Code | 30224 |
Specialty | INTERNAL MEDICINE |
City + Specialty | GRIFFIN + INTERNAL MEDICINE |
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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.