KANDRA W WATSON (MD) – Family Medicine Physician, NPI 1104930874

KANDRA W WATSON (MD) is a healthcare provider. based in Columbus, Georgia. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 064988 (GA). The NPI Number for KANDRA W WATSON (MD) is 1104930874

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KANDRA W WATSON (MD)
NPI
1104930874
Phone
(706) 332-7884
Address
P O BOX 84052
Enumeration Date
18 August 2006
Last Update Date
1 March 2012

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
7063213750
Graduation Year
1997 (29 years ago)
PAC ID
1557454899
Group Practice PAC ID
1355244385
Professional Enrollment ID
I20110106000949
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for KANDRA W WATSON (MD)

  • P O BOX 84052

    COLUMBUS, GA 319084052

    Phone: (706) 332-7884

    Fax: (706) 243-4358

    Type: Mailing

  • 610, 19th Street, Columbus, Muscogee County, Georgia, 31993, United States

    COLUMBUS, GA 319011528

    Phone: (706) 332-7884

    Fax: (706) 243-4356

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: PFIZER INC. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110106000949IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
87804Detection test by immunoassay with direct visual observation for influenza virus10250$0
99213Established patient office or other outpatient visit, 20-29 minutes9686$0
99203New patient office or other outpatient visit, 30-44 minutes9090$0
J1100Injection, dexamethasone sodium phosphate, 1 mg8811$0
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc4947$0
View full utilization report →

Insurance plans in this area (ZIP 31908)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355244385View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check KANDRA W WATSON (MD) using NPI 1104930874?
NPI 1104930874 belongs to KANDRA W WATSON (MD); compare other details if you need extra assurance.
Is there an active status for KANDRA W WATSON (MD)?
For scheduling context, KANDRA W WATSON (MD) is shown as active in the registry.
How would a patient describe KANDRA W WATSON (MD)'s focus?
For KANDRA W WATSON (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KANDRA W WATSON (MD) associated with Columbus?
Public fields place KANDRA W WATSON (MD) around Columbus, Georgia. Always confirm the exact site before visiting.
Does KANDRA W WATSON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

22385 FLORA PARKE XING
NPI: 1598768145

SHAHIN ETEBAR (MD)

Neurological Surgery Physician
PO BOX 1299
NPI: 1194721308
239 W HWY 190
NPI: 1194722876

DR. ROBERT G PALERINO (MD)

Family Medicine Physician
7141, Moon Road, Timberdale, Columbus, Muscogee County, Georgia, 31909, United States
NPI: 1194724245

DR. RAQUEL MARIA WATSON (M.D.)

Family Medicine Physician
142 WATERS EDGE DR
NPI: 1215936323
Columbus Post Office, 5th Street, Columbus, Bartholomew County, Indiana, 47201, United States
NPI: 1497754592

HORIZONS DIAGNOSTICS, L.L.C.

Family Medicine Physician
106, Enterprise Court, Fox Chapel, Columbus, Muscogee County, Georgia, 31904, United States
NPI: 1366443368

CHRISTOPHER T WOMMACK (MD)

Family Medicine Physician
106, Enterprise Court, Fox Chapel, Columbus, Muscogee County, Georgia, 31904, United States
NPI: 1962403808

HENRY BANKS CARROLL (MD)

Family Medicine Physician
106, Enterprise Court, Fox Chapel, Columbus, Muscogee County, Georgia, 31904, United States
NPI: 1336140334