DR. KELLY NICOLE WATSON MD
NPI 1740401835
Pediatrics in Grovetown, GA

Active since May 02, 2007PECOS Enrolled
305 W ROBINSON AVE, GROVETOWN, GA 30813(706) 446-4886 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kelly Nicole Watson Md NPPES

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

DR. KELLY NICOLE WATSON MD (NPI 1740401835) is an individual pediatrics provider in Grovetown, Georgia, licensed in Georgia (82677) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1740401835
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KELLY NICOLE WATSONCredential: MD
Location Address305 W ROBINSON AVEGrovetown, GA 30813-2145
Mailing Address1120 15th St # Bi1056Augusta, GA 30912-0004 · (706) 721-8623 · Fax (706) 721-1459
Sole ProprietorNo
Enumeration DateMay 2, 2007
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1740401835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 82677
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
305 W ROBINSON AVE, Grovetown, GA 30813

Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-4259 · Phone (706) 721-8623 · Fax (706) 721-1459

Other Identifiers 1

Other000519GA · Residing Traing Permit

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Nicole Watson Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Watson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30813 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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

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

Pediatrics
305 W ROBINSON AVE
GROVETOWN, GA 30813

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 Kelly Watson's NPI number?

The NPI number for Kelly Watson is 1740401835. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Kelly Watson located?

Kelly Watson practices at 305 W Robinson Ave, Grovetown, GA 30813. The listed phone number is (706) 446-4886.

What is Kelly Watson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelly Watson enrolled in Medicare?

Yes. Kelly Watson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Watson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Watson reassigns Medicare benefits to 2 organizations: Au Medical Associates Inc (Augusta, GA) and Wellstar Medical Group, LLC (Roswell, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Watson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Watson accept?

Health plans from Alliant Health Plans, Inc., Molina Healthcare and Oscar Health list Kelly Watson 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 Kelly Watson was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.