DR WATSON CONCIERGE MEDICINE, PLLC
NPI 1396497137
Family Medicine in Elizabethtown, KY

Active since January 24, 2022CLIA 18D2251622 · Waiver
584 WESTPORT RD, ELIZABETHTOWN, KY 42701(859) 351-7660 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1396497137
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDR WATSON CONCIERGE MEDICINE, PLLC
Location Address584 WESTPORT RDElizabethtown, KY 42701-2987
Mailing Address584 Westport RdElizabethtown, KY 42701-2987 · (859) 351-7660
Organization SubpartNo
Authorized OfficialAndrea T WatsonOwner · (859) 351-7660
Enumeration DateJanuary 24, 2022
NPPES CertifiedJanuary 21, 2022
NPI 1396497137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
584 WESTPORT RD, Elizabethtown, KY 42701

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 SINGLE SPECIALTY GROUP

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, KY
Active · expires Feb 3, 2028
CLIA Number18D2251622
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorDr. Andrea T. Watson
Laboratory Phone(270) 212-6343
Laboratory LocationDr Watson Concierge Medicine, PLLC584 Westport Rd Suite 102, Elizabethtown, KY 42701
CLIA data matches this NPI record on: Address Name
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.

Internal Medicine (Rheumatology)
584 WESTPORT RD, STE 101
ELIZABETHTOWN, KY 42701
Internal Medicine (Rheumatology)
584 WESTPORT RD, SUITE 101
ELIZABETHTOWN, KY 42701

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 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.

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.

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.