Kristen L Hood Watson (NPI# 1245525070, PAC ID# 8820237084) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245525070 |
| PAC ID by PECOS | 8820237084 |
| Professional Enrollment ID | I20140428001798 |
| Full Name | Kristen L Hood Watson |
| Organization Legal Name | COASTAL CAROLINA PRIMARY CARE, LLC |
| Address |
9228 Medical Plaza Dr Charleston SC 29406-9125 |
| Phone Number | 8435728277 |
| Gender | F |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577629088 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| 420004 | MUSC MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 167 Ashley Ave, Charleston, SC 29425-8908 | 8437921414 | UNIVERSITY MEDICAL ASSOCIATES |
| 171 Ashley Ave, Charleston, SC 29425-8908 | 8437921414 | UNIVERSITY MEDICAL ASSOCIATES |
| 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 8435728277 | COASTAL CAROLINA PRIMARY CARE, LLC |
| 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8432917182 | COASTAL CAROLINA PRIMARY CARE, LLC |
| Organization Legal Name | COASTAL CAROLINA PRIMARY CARE, LLC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Shadiack | Family Medicine | Coastal Carolina Primary Care, LLC | 839 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Nancy Burgess Stroud | Obstetrics/gynecology | Coastal Carolina Primary Care, LLC | 9279 Medical Plaza Dr, Suite A, Charleston, SC 29406-9141 |
| Jerry G Back | Internal Medicine | Coastal Carolina Primary Care, LLC | 2845 Tricom St, North Charleston, SC 29406-9172 |
| Alexander W Chessman | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Susan K Herrington | Physician Assistant | Coastal Carolina Primary Care, LLC | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 |
| Sarah E Hearn | Physician Assistant | Coastal Carolina Primary Care, LLC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Nicholas P Shungu | Family Medicine | Coastal Carolina Primary Care, LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Sean Patrick Haley | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Eric M Matheson | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Kevin W Shea | Infectious Disease | Coastal Carolina Primary Care, LLC | 8170 Rourk St, Suite 100, Myrtle Beach, SC 29572-4127 |
| Street Address |
9228 MEDICAL PLAZA DR |
| City | CHARLESTON |
| State | SC |
| Zip | 29406-9125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander W Chessman | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Sean Patrick Haley | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Eric M Matheson | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Jennifer Eileen Bain | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| John R Freedy | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Lisa D Mims | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Alexei O Decastro | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Russell S Blackwelder | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Joseph J Benich Iii | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Cristin S Adams | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Coker | Cardiovascular Disease (cardiology) | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Mary L Bowen | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jason B Coker | Internal Medicine | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Dana West | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Victoria M Adams | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Kirsten Lynn Paris | Physician Assistant | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, North Charleston, SC 29406 |
| Jack Stansbury | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jennifer M Lesslie | Optometry | 1370 Remount Rd, Suite B, N Charleston, SC 29406-3322 | |
| Francis Akom | Obstetrics/gynecology | 1370 Remount Rd D, North Charleston, SC 29406-3322 | |
| Michael David Schall | Optometry | 1415 Remount Rd, N Charleston, SC 29406-3326 | |
| Find all physicians in zip 29406 | |||
| City | CHARLESTON |
| Zip Code | 29406 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHARLESTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kristen L Hood Watson.
| 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.