DR. KELLIE MCADAMS WATTS DMD
NPI 1578083671
Dentist - General Practice in Ridgeland, MS

Q: What is Kellie Watts's NPI number?

The NPI number for Kellie Watts is 1578083671. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Q: What is Kellie Watts's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Watts was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 21, 2017PECOS Enrolled

772 LAKE HARBOUR DR STE 2, RIDGELAND, MS 39157(601) 607-7876 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2023, Mar 17, 2018, Mar 11, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Kellie Mcadams Watts Dmd NPPES

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

DR. KELLIE MCADAMS WATTS DMD (NPI 1578083671) is an individual general practice provider in Ridgeland, Mississippi, licensed in Mississippi (3936-17) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578083671

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KELLIE MCADAMS WATTSCredential: DMD

Location Address772 LAKE HARBOUR DR STE 2Ridgeland, MS 39157-4365

Mailing Address772 Lake Harbour Dr Ste 2Ridgeland, MS 39157-4365 · (601) 607-7876

Phone(601) 607-7876

Sole ProprietorNo

Enumeration DateJune 21, 2017

Last NPPES UpdateApril 4, 20234 updates tracked since enumeration

NPPES CertifiedApril 4, 2023

✔ NPI 1578083671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 3936-17

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

772 LAKE HARBOUR DR STE 2, Ridgeland, MS 39157

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Secondary Practice Locations 2

Location 13999 N Gloster StTupelo, MS 38804-0950 · Phone (662) 778-2002

Location 21763 Cliff Gookin BlvdTupelo, MS 38801-6723 · Phone (662) 842-2802

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kellie Mcadams Watts Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39157 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kellie Watts's NPI number?

The NPI number for Kellie Watts is 1578083671. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Kellie Watts located?

Kellie Watts practices at 772 Lake Harbour Dr Ste 2, Ridgeland, MS 39157. The listed phone number is (601) 607-7876.

What is Kellie Watts's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kellie Watts enrolled in Medicare?

Yes. Kellie Watts is registered in the Medicare PECOS enrollment system.

What insurance does Kellie Watts accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 6 other insurers list Kellie Watts 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 Kellie Watts was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.