Healthcare Provider Details

I. General information

NPI: 1487307625
Provider Name (Legal Business Name): JAMES PARKER WATTS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2022
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 SAINT VINCENTS DR STE 100
BIRMINGHAM AL
35205-1638
US

IV. Provider business mailing address

4594 OLD CARTER HILL RD
PIKE ROAD AL
36064-5141
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-3699
  • Fax: 205-484-2585
Mailing address:
  • Phone: 334-306-8540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.1950
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: