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: July 19, 2026.

  • Organization
  • Family Medicine
  • CLIA Number: 18D2251622
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-03-2028

About DR WATSON CONCIERGE MEDICINE, PLLC

This page provides the complete NPI Profile along with additional information for Dr Watson Concierge Medicine, Pllc, a primary care provider established in Elizabethtown, Kentucky operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1396497137 assigned on January 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Andrea T Watson (Owner)

NPI
1396497137 Verify this NPI
Provider Name
DR WATSON CONCIERGE MEDICINE, PLLC
Entity Type
Organization
Location Address
584 WESTPORT RD ELIZABETHTOWN, KY 42701
Location Phone
(859) 351-7660
Mailing Address
584 WESTPORT RD ELIZABETHTOWN, KY 42701
Mailing Phone
(859) 351-7660
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2022
Last Update Date
01-24-2022
Code Navigator

A primary care provider (PCP) like Dr Watson Concierge Medicine, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANDREA T WATSON

Authorized Official Title
OWNER
Authorized Official Phone
(859) 351-7660

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2251622
Facility Type
Physician Office
Certificate Effective Date
February 04, 2026
Certificate Expiration Date
February 03, 2028
Laboratory Director
DR. ANDREA T. WATSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dr Watson Concierge Medicine, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DR WATSON CONCIERGE MEDICINE, PLLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396497137, enumerated as an "organization" on January 24, 2022.

The provider is located at 584 WESTPORT RD ELIZABETHTOWN, KY 42701 and the phone number is (859) 351-7660.

Family Medicine with taxonomy code 207Q00000X.