DR. TIFFANY L BOLDEN-WATKINS (MD) – Obstetrics & Gynecology Physician, NPI 1982845897
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,266 OBSTETRICS/GYNECOLOGY in GA
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Provider Addresses for DR. TIFFANY L BOLDEN-WATKINS (MD)
City Boulevard, Waycross, Ware County, Georgia, 31501, United States
WAYCROSS, GA 315018003
Phone: (912) 490-2229
Fax: (912) 490-9023
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $7.
Total Amount is formed as General ($7) + Research ($0) + Ownership ($0) = $7.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Organon LLC ($7).
Total Amount
$7
General + Research + Ownership
Payments
1
Total payment records
General Amount
$7
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $7 |
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: 2023-05-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131018000622 | I | Obstetrics/Gynecology | GA | TBD |
| I20211008000689 | I | Obstetrics/Gynecology | PA | TBD |
| I20230504003296 | I | Obstetrics/Gynecology | LA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31501)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | LA | |
| - | LA | |
| General Surgery | LA | |
| Vascular Surgery | LA | |
| Family Practice, Sports Medicine | LA | |
| - | LA | |
| - | LA | |
| - | LA | |
| - | LA | |
| Physician Assistant | LA |
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