| Ms Kathryn C Watt, NPC | |
|
410 Connell Rd, Valdosta, GA 31602-1407 | |
| (229) 244-4720 | |
| (229) 247-1084 |
| Full Name | Ms Kathryn C Watt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 410 Connell Rd, Valdosta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154446862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN170324 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Georgia Medical Center | Valdosta, GA | Hospital |
| Cook Medical Center A Campus Of Tift Reg Med Ctr | Adel, GA | Hospital |
| Sgmc Lanier Campus | Lakeland, GA | Hospital |
| Tift Regional Medical Center | Tifton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwell Ambulatory Inc | 9234566779 | 10 |
| Entity Name | Valdosta Gastroenterology Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114962255 PECOS PAC ID: 3577540459 Enrollment ID: O20040630000272 |
| Entity Name | Southwell Ambulatory Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164069472 PECOS PAC ID: 9234566779 Enrollment ID: O20200224001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathryn C Watt, NPC 410 Connell Rd, Valdosta, GA 31602-1407 Ph: (229) 244-4720 | Ms Kathryn C Watt, NPC 410 Connell Rd, Valdosta, GA 31602-1407 Ph: (229) 244-4720 |
John Stephen Dodd, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4340 Fax: 259-259-4341 | |
Vicki Wetter, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3120 N Oak Street Ext Ste G, Valdosta, GA 31602 Phone: 229-671-6130 Fax: 229-671-6764 | |
Lindsey C Mcclain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-242-6061 Fax: 229-242-6151 | |
Ms. Barbara Ann Pearce, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4233 Camelot Xing, Valdosta, GA 31602 Phone: 229-469-4383 Fax: 229-469-4584 | |
Mr. Nathan Kelly Roberson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4340 Kings Way, Valdosta, GA 31602 Phone: 229-333-9736 | |
Mr. Robert Donald Keen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2602 Rolling Rd, Valdosta, GA 31602 Phone: 229-560-4575 | |
William Thomas Mulligan Jr., FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2409 N Patterson St # F3, Valdosta, GA 31602 Phone: 229-433-8160 |