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WILLIE MACK WATTS PA
NPI 1679772388
Physician Assistant in Gray, GA

Active since July 12, 2007PECOS Enrolled
4292 GRAY HWY, GRAY, GA 31032(478) 986-2500(478) 864-1288 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willie Mack Watts Pa NPPES

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

WILLIE MACK WATTS PA (NPI 1679772388) is an individual physician assistant in Gray, Georgia, licensed in Georgia (10853) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679772388
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWILLIE MACK WATTSCredential: PA
Location Address4292 GRAY HWYGray, GA 31032-5900
Mailing AddressPo Box 73Port Royal, SC 29935-0073 · (256) 393-9663
Phone(478) 986-2500
Fax(478) 864-1288
Sole ProprietorNo
Enumeration DateJuly 12, 2007
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
✔ NPI 1679772388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 10853
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA-184 (AL)
4292 GRAY HWY, Gray, GA 31032
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Other Identifiers 1

Medicaid009911802AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willie Mack Watts Pa 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 31032 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 9

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

DR. NKECHI OKECHUKWU M.D
Pediatrics
4292 GRAY HWY
GRAY, GA 31032
Jones County (478) 986-2500
MORGAN A STINSON PHD, LMFT, CCTP
Marriage & Family Therapist
4292 GRAY HWY
GRAY, GA 31032
Jones County (478) 986-2500
SAMANTHA CRAFT CPS
Community Health Worker
4292 GRAY HWY
GRAY, GA 31032
Jones County (478) 864-3448
DR. BRIAN STERLING PARAMORE CNP
Nurse Practitioner (Family)
4292 GRAY HWY
GRAY, GA 31032
Jones County (478) 986-2500
MEREDI A ANDERS PAC
Family Medicine
4292 GRAY HWY
GRAY, GA 31032
Jones County (478) 864-3448
TODD F KELLEHER DC PC
Chiropractor
4292 GRAY HWY
GRAY, GA 31032
Jones County (478) 986-6444
COMMUNITY HEALTH CARE SYSTEMS, INC
Clinic/Center
4292 GRAY HWY
GRAY, GA 31032
Jones County (478) 986-2500
MR. STEVEN JAMES CLARK LD0001859
Technician/Technologist (Optician)
4292 GRAY HWY, SUITE A
GRAY, GA 31032
Jones County (478) 986-2384

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 Willie Watts's NPI number?

The NPI number for Willie Watts is 1679772388. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Willie Watts located?

Willie Watts practices at 4292 Gray Hwy, Gray, GA 31032. The listed phone number is (478) 986-2500.

What is Willie Watts's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Willie Watts enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Willie Watts was last updated on June 13, 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.