NONE - NPI 1376725978 - Specialist in Stockbridge, GA

Q: What is Eagles Landing Diabetes And Endocrinology's specialty?

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

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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

Phone(770) 389-9494

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

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.

DR. RONALD STEVEN WATTS M.D., F.A.C.E

Specialist

550 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281

Henry County (770) 389-9494

MRS. CARLENA SUZETTE PLUNKETT FNP

Nurse Practitioner (Family)

550 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281

Henry County (770) 389-9494

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.

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 with the weekly NPPES data releases published by CMS.