DR. MARY CAROLYN WATSON M.D.
NPI 1053549444
Family Medicine in Pelham, GA

Q: What is Mary Watson's NPI number?

The NPI number for Mary Watson is 1053549444. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Q: What is Mary Watson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Watson was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2009PECOS Enrolled

608 DOGWOOD DR NE, PELHAM, GA 31779(850) 815-0063 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2021, Aug 21, 2020 (2 updates tracked since 2020).

On this page

About Dr. Mary Carolyn Watson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY CAROLYN WATSON M.D. (NPI 1053549444) is an individual family medicine provider in Pelham, Georgia, licensed in Georgia (86385) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053549444

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARY CAROLYN WATSONCredential: M.D.

Location Address608 DOGWOOD DR NEPelham, GA 31779-1132

Mailing Address3361 Shadowmoss DrTallahassee, FL 32308-5678 · (850) 815-0063

Phone(850) 815-0063

Sole ProprietorYes

Enumeration DateJune 24, 2009

Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration

NPPES CertifiedDecember 21, 2021

✔ NPI 1053549444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in GA · 86385✔ Licensed in FL · ME126349

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

608 DOGWOOD DR NE, Pelham, GA 31779

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Carolyn Watson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Mary Watson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southland Emergency Medical Services, L.L.C

22 mi

Emergency Medicine

100 E MADISON ST
Thomasville, GA 31792

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Southland Emergency Medical Services LLC
68 clinicians in this Medicare group

NPI 1477701472 (229) 236-0831

Southland Consolidated Emergency Services, LLC

220 mi

Emergency Medicine

4 MEDICAL DR
Elberton, GA 30635

Reassigned Medicare billing, Georgia enrollment
137 clinicians in this Medicare group

NPI 1174917124 (706) 283-3151

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31779 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY CAROLYN WATSON

Family Medicine

608 DOGWOOD DR NE
PELHAM, GA 31779

Mitchell County (850) 815-0063

HOSPITAL AUTHORITY OF MITCHELL COUNTY

Skilled Nursing Facility

608 DOGWOOD DR NE
PELHAM, GA 31779

Mitchell County (229) 294-8602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Watson's NPI number?

The NPI number for Mary Watson is 1053549444. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Mary Watson located?

Mary Watson practices at 608 Dogwood Dr NE, Pelham, GA 31779. The listed phone number is (850) 815-0063.

What is Mary Watson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Watson enrolled in Medicare?

Yes. Mary Watson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Watson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Watson reassigns Medicare benefits to 2 organizations: Southland Emergency Medical Services, L.L.C (Thomasville, GA) and Southland Consolidated Emergency Services, LLC (Elberton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Watson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Watson was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.