Physician Compare National (NPI:1942301759)

HEALTHCARE PROVIDER: RONALD STEVEN WATTS M.D., F.A.C.E

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1942301759
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547293854
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100929000286
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WATTS
	Individual professional last name
Provider First Name	RONALD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
	Individual professional's medical school
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1050 EAGLES LANDING PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 302
	Group Practice or individual's line 2 address
City	STOCKBRIDGE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	302817381
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110191
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIEDMONT HENRY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110161
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTHSIDE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y