DR WATSON CONCIERGE MEDICINE, PLLC
NPI 1396497137
Family Medicine in Elizabethtown, KY
About Dr Watson Concierge Medicine, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR WATSON CONCIERGE MEDICINE, PLLC (NPI 1396497137) is a healthcare organization registered as a family medicine in Elizabethtown, Kentucky and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Andrea T Watson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Dr Watson Concierge Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Dr Watson Concierge Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 18D2251622
Dr Watson Concierge Medicine, PLLC · Elizabethtown, KYFrequently 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 Dr Watson Concierge Medicine, PLLC's NPI number?
The NPI number for Dr Watson Concierge Medicine, PLLC is 1396497137. It was assigned to this organization in the NPPES registry on January 24, 2022.
Where is Dr Watson Concierge Medicine, PLLC located?
Dr Watson Concierge Medicine, PLLC is located at 584 Westport Rd, Elizabethtown, KY 42701. The listed phone number is (859) 351-7660.
What is Dr Watson Concierge Medicine, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dr Watson Concierge Medicine, PLLC enrolled in Medicare?
Yes. Dr Watson Concierge Medicine, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Watson Concierge Medicine, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dr Watson Concierge Medicine, PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dr Watson Concierge Medicine, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2251622) is associated with this NPI, valid through February 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dr Watson Concierge Medicine, PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Dr Watson Concierge Medicine, PLLC 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 Dr Watson Concierge Medicine, PLLC was last updated on January 24, 2022. 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.
# Dr Watson Concierge Medicine, Pllc · NPI 1396497137
Family Medicine organization in Elizabethtown, Kentucky. Organization record, active in the CMS NPPES registry since January 24, 2022.
## Identity
- **NPI:** 1396497137 (Entity type: Organization)
- **Enumerated:** January 24, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Andrea Watson, OWNER
## Practice location
- **Address:** 584 WESTPORT RD, Elizabethtown, KY 42701-2987
- **Phone:** (859) 351-7660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396497137) · Data from the CMS NPPES public registry.