DEMETRIA RENEE WATFORD RAWLINSON MD
NPI 1538523519
Family Medicine in Huntersville, NC

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
16645 BIRKDALE COMMONS PKWY, STE 100, HUNTERSVILLE, NC 28078(704) 801-7390 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 18 more (21 updates tracked since 2019).

About Demetria Renee Watford Rawlinson Md NPPES

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

DEMETRIA RENEE WATFORD RAWLINSON MD (NPI 1538523519) is an individual family medicine provider in Huntersville, North Carolina, licensed in North Carolina (2019-01184) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1538523519
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDEMETRIA RENEE WATFORD RAWLINSONCredential: MD
Location Address16645 BIRKDALE COMMONS PKWY, STE 100Huntersville, NC 28078-5669
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2016
Enumeration DateApril 6, 2016
Last NPPES UpdateJuly 15, 202421 updates tracked since enumeration
NPI 1538523519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2019-01184
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.

16645 BIRKDALE COMMONS PKWY, Huntersville, NC 28078

Secondary Practice Locations 4

Location 1101 E W T Harris Blvd, Ste 5401Charlotte, NC 28262-3485 · Phone (704) 863-9700
Location 214214 Ballantyne Lake Rd, Ste 100Charlotte, NC 28277-3372 · Phone (704) 667-2650
Location 310226 Couloak Dr, Ste 100Charlotte, NC 28216-7675 · Phone (704) 801-7380
Location 49611 Sherrill Estates Rd, Ste BHuntersville, NC 28078-6485 · Phone (704) 801-1150

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Demetria Renee Watford Rawlinson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244519007
PECOS Enrollment IDI20161118000000
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
16645 BIRKDALE COMMONS PKWY, STE. 101
HUNTERSVILLE, NC 28078
Physical Therapist
16645 BIRKDALE COMMONS PKWY, SUITE 101
HUNTERSVILLE, NC 28078
Family Medicine (Sports Medicine)
16645 BIRKDALE COMMONS PKWY, STE 100A
HUNTERSVILLE, NC 28078
Psychiatry & Neurology (Neurology)
16645 BIRKDALE COMMONS PKWY, STE 200D
HUNTERSVILLE, NC 28078
Internal Medicine (Endocrinology, Diabetes & Metabolism)
16645 BIRKDALE COMMONS PKWY, STE 200C
HUNTERSVILLE, NC 28078
Psychiatry & Neurology (Neurology)
16645 BIRKDALE COMMONS PKWY, STE 200D
HUNTERSVILLE, NC 28078
Family Medicine (Sports Medicine)
16645 BIRKDALE COMMONS PKWY, STE 100A
HUNTERSVILLE, NC 28078
Nurse Practitioner (Family)
16645 BIRKDALE COMMONS PKWY, STE 100
HUNTERSVILLE, NC 28078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538523519, enumerated as an "individual" on April 06, 2016.

The provider is located at 16645 BIRKDALE COMMONS PKWY STE 100 HUNTERSVILLE, NC 28078 and the phone number is (704) 801-7390.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.

Demetria Rawlinson is affiliated with: CAROLINAS MEDICAL CENTER/BEHAV HEALTH.