Lisa Ann Rudolph-watson, MD - Medicare Psychiatry in Moultrie, GA

  1. Home
  2. Psychiatry & Neurology
  3. GA
  4. Moultrie
Lisa Ann Rudolph-watson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Moultrie, Georgia. She went to West Virginia University School Of Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Colquitt Regional Psychiatry Llc and her current practice location is 3131 S Main St, Moultrie, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 985-3420.

Lisa Ann Rudolph-watson is licensed to practice in West Virginia (license number 17946) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881627867.

Contact Information

Lisa Ann Rudolph-watson, MD
3131 S Main St,
Moultrie, GA 31768-6925
(229) 985-3420
Not Available

Map and Direction




Physician's Profile

Full NameLisa Ann Rudolph-watson
GenderFemale
SpecialityPsychiatry
Experience33 Years
Location3131 S Main St, Moultrie, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Ann Rudolph-watson attended and graduated from West Virginia University School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1881627867
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 09/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0941293963
  • Enrollment ID: I20040406000711

Medical Identifiers

Medical identifiers for Lisa Ann Rudolph-watson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881627867NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 17946 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Colquitt Regional Medical CenterMoultrie, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Colquitt Regional Psychiatry Llc49810126555

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa Ann Rudolph-watson allows following entities to bill medicare on her behalf.
Entity NameColquitt Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912099094
PECOS PAC ID: 6204821796
Enrollment ID: O20040415000368
Entity NameGeorgia Pines Community Service Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366506958
PECOS PAC ID: 5799772844
Enrollment ID: O20040429000631
Entity NameSgmp Southland, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447695085
PECOS PAC ID: 1153563770
Enrollment ID: O20130812000452
Entity NameColquitt Regional Psychiatry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407459027
PECOS PAC ID: 4981012655
Enrollment ID: O20210419000060

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Ann Rudolph-watson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Ann Rudolph-watson, MD
Po Box 2876,
Moultrie, GA 31776-2876

Ph: (229) 891-9131		Lisa Ann Rudolph-watson, MD
3131 S Main St,
Moultrie, GA 31768-6925

Ph: (229) 985-3420

Reviews and Comments


Psychiatry & Neurology Doctors in Moultrie, GA

Dr. Anthony Nicholas Cimmino, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Magnolia Ct, Moultrie, GA 31768
Phone: 229-502-9753    
Kent Alexander Posey, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 760 26th Ave Se, Moultrie, GA 31768
Phone: 229-502-9735    
Muhammad Mahmood Alam, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3015 Veterans Pkwy S, Moultrie, GA 31788
Phone: 229-985-4815    
Jaymal R Patel, M.D.
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 3131 S Main St, Moultrie, GA 31768
Phone: 229-891-9443    
Wilson Baumgartner,
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Magnolia Ct, Moultrie, GA 31768
Phone: 229-502-9753    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.