Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Ann Rudolph-Watson, MD

Individual provider Psychiatry Physician · NPI 1881627867

Lisa Ann Rudolph-Watson, MD is a Psychiatry in Moultrie, Georgia. Graduated from West Virginia University School of Medicine in 1992, 34 years ago. Practices with Colquitt Regional Psychiatry LLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
34
Trained at
West Virginia University School of Medicine
Licensed in
WV
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3131 S Main St
Moultrie, GA 31768-6925
Phone: (229) 985-3420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Wvu Student Health Service, Morgantown, WV 26506-9247 — (304) 293-6972

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 17946 (WV)

Record details

NPI number1881627867
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 10, 2006
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Colquitt Regional Psychiatry Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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