NONE
NPI 1376725978
Specialist in Stockbridge, GA

Active since December 05, 2007CLIA 11D1021968 · Waiver
550 EAGLES LANDING PKWY STE 110, STOCKBRIDGE, GA 30281(770) 389-9494(770) 357-2511 Get Directions Write a Review

NPPES record last updated: June 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2021, May 19, 2021 (2 updates tracked since 2021).

About None NPPES

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

NONE (NPI 1376725978) is a healthcare organization registered as a specialist in Stockbridge, Georgia and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Ronald Steven Watts, Owner, as its authorized official.

NPPES Registry Identity

NPI1376725978
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEAGLES LANDING DIABETES AND ENDOCRINOLOGY
Location Address550 EAGLES LANDING PKWY STE 110Stockbridge, GA 30281-9083
Mailing Address550 Eagles Landing Pkwy Ste 110Stockbridge, GA 30281-9083 · (770) 389-9494 · Fax (770) 357-2511
Fax(770) 357-2511
Organization SubpartNo
Authorized OfficialRonald Steven WattsOwner · (770) 389-9494
Enumeration DateDecember 5, 2007
Last NPPES UpdateJune 13, 20212 updates tracked since enumeration
NPPES CertifiedJune 13, 2021
✔ NPI 1376725978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 044862
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
550 EAGLES LANDING PKWY STE 110, Stockbridge, GA 30281

Other Identifiers 1

Medicaid000977523AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

None is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to None, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1770035362
550 EAGLES LANDING PKWY STE 110
Stockbridge, GA 30281
(770) 389-9494
✔ PECOSSame address
Endocrinology
NPI 1942301759
550 EAGLES LANDING PKWY STE 110
Stockbridge, GA 30281
(770) 389-9494
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1518957372
1050 EAGLES LANDING PKWY SUITE 302
Stockbridge, GA 30281
(770) 389-9494
✔ PECOS0.7 mi
Nurse Practitioner
NPI 1912424094
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
(678) 604-1053
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1437834025
360 RACETRACK RD
Mcdonough, GA 30252
(404) 704-6283
✔ PECOS✔ Accepts Medicare7.4 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1021968

Eagles Landing Diabetes And Endocrinology · Stockbridge, GA
Active · expires Oct 23, 2027
CLIA Number11D1021968
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorRonald Steven Watts
Laboratory Phone(770) 389-9494
Laboratory LocationEagles Landing Diabetes And Endocrinology550 Eagles Landing Pkwy, Suite 110, Stockbridge, GA 30281
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Eagles Landing Diabetes And Endocrinology's NPI number?

The NPI number for Eagles Landing Diabetes And Endocrinology is 1376725978. It was assigned to this organization in the NPPES registry on December 5, 2007.

Where is Eagles Landing Diabetes And Endocrinology located?

Eagles Landing Diabetes And Endocrinology is located at 550 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281. The listed phone number is (770) 389-9494.

What is Eagles Landing Diabetes And Endocrinology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Eagles Landing Diabetes And Endocrinology enrolled in Medicare?

Yes. Eagles Landing Diabetes And Endocrinology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eagles Landing Diabetes And Endocrinology?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Eagles Landing Diabetes And Endocrinology. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Endocrinology (1) and Family Practice (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eagles Landing Diabetes And Endocrinology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1021968) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eagles Landing Diabetes And Endocrinology accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Eagles Landing Diabetes And Endocrinology as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eagles Landing Diabetes And Endocrinology was last updated on June 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.