Stanley R Watson (NPI# 1164524005, PAC ID# 9234206020) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164524005 |
| PAC ID by PECOS | 9234206020 |
| Professional Enrollment ID | I20080919000468 |
| Full Name | Stanley R Watson |
| Organization Legal Name | RALEIGH DURHAM MEDICAL GROUP PA |
| Address |
864 Black Creek Rd Four Oaks NC 27524-8314 |
| Phone Number | 9199633148 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2365409588 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340090 | JOHNSTON HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 864 Black Creek Rd, Four Oaks, NC 27524-8314 | 9199633148 | RALEIGH DURHAM MEDICAL GROUP PA |
| Organization Legal Name | RALEIGH DURHAM MEDICAL GROUP PA |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney J. Powell | Physician Assistant | Raleigh Durham Medical Group Pa | 97 Cornerstone Dr, Cary, NC 27519-8403 |
| Danielle Knaub | Nurse Practitioner | Raleigh Durham Medical Group Pa | 4003 N Roxboro Rd, Durham, NC 27704-2119 |
| Jacquelyn A Mcgill | Family Medicine | Raleigh Durham Medical Group Pa | 236 Butternut Ln, Clayton, NC 27520-5857 |
| William B Hebda | Family Medicine | Raleigh Durham Medical Group Pa | 100 Cunningham Ln, Clayton, NC 27527-3923 |
| Lee Ann Roberts | Obstetrics/gynecology | Raleigh Durham Medical Group Pa | 600 New Waverly Place, Suite 203, Cary, NC 27518-7404 |
| Regina M Ryan | Family Medicine | Raleigh Durham Medical Group Pa | 410 Canterbury Rd, Smithfield, NC 27577-4861 |
| Scott H Brundle | Family Medicine | Raleigh Durham Medical Group Pa | 97 Cornerstone Dr, Cary, NC 27519-8403 |
| Charlie H Foster Jr. | Family Medicine | Raleigh Durham Medical Group Pa | 600 New Waverly Place, Suite 203, Cary, NC 27518-7404 |
| Renee Williams | Nurse Practitioner | Raleigh Durham Medical Group Pa | 410 Canterbury Rd, Smithfield, NC 27577-4861 |
| Jing Jean Zhang | Family Medicine | Raleigh Durham Medical Group Pa | 600 New Waverly Place, Suite 203, Cary, NC 27518-7404 |
| Street Address |
864 BLACK CREEK RD |
| City | FOUR OAKS |
| State | NC |
| Zip | 27524-8314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Garner Peacock | Nurse Practitioner | Raleigh Durham Medical Group Pa | 864 Black Creek Rd, Four Oaks, NC 27524-8314 |
| City | FOUR OAKS |
| Zip Code | 27524 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FOUR OAKS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stanley R Watson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.