LISA ANN RUDOLPH-WATSON MD
NPI 1881627867
Psychiatry & Neurology - Psychiatry in Moultrie, GA

Q: What is Lisa Rudolph-watson's NPI number?

The NPI number for Lisa Rudolph-watson is 1881627867. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Lisa Rudolph-watson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

3131 S MAIN ST, MOULTRIE, GA 31768(229) 985-3420 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 8, 2025, Nov 20, 2024, Jul 28, 2023 and 1 more (4 updates tracked since 2023).

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About Lisa Ann Rudolph-watson Md NPPES

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

LISA ANN RUDOLPH-WATSON MD (NPI 1881627867) is an individual psychiatry provider in Moultrie, Georgia, licensed in West Virginia (17946) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Colquitt Regional Medical Center, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1881627867

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameLISA ANN RUDOLPH-WATSONCredential: MD

Location Address3131 S MAIN STMoultrie, GA 31768-6925

Mailing AddressPo Box 2876Moultrie, GA 31776-2876 · (229) 891-9131

Phone(229) 985-3420

Sole ProprietorYes

Medical School CMSWest Virginia University School Of MedicineGraduated 1992

Enumeration DateJuly 10, 2006

Last NPPES UpdateSeptember 8, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1881627867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in WV · 17946

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Secondary Practice Location 1

Location 1WVU STUDENT HEALTH SERVICE, RCB HSC BOX 9247MORGANTOWN, WV 26506-9247 · Phone (304) 293-6972 · Fax (304) 293-4815

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 and accepts Medicare assignment

Lisa Ann Rudolph-watson 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 ID941293963

PECOS Enrollment IDI20040406000711

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

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

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

24 services24 patients

Hospital Affiliations CMS Care Compare

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

Colquitt Regional Medical Center

Acute Care Hospitals · Moultrie, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110105

Location3131 South Main StreetMoultrie, GA 31768 · Colquitt County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31768 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

$164.04 typical visit price

range $53.31 – $164.04

Typical copayment $41.01 (range $13.32 – $41.01)

Most-billed visit code 99205

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 20

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

JARED KENT CARDWELL MD

Family Medicine