Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael D Watson, PA-C

Individual provider Medical Physician Assistant · NPI 1407574056

Mr. Michael D Watson, PA-C is a Physician Assistant in Bolivia, North Carolina. Qualified in 2023, 3 years ago. Practices with Fastmed PC, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

113 Kite Cir NE
Bolivia, NC 28422-3805
Phone: (907) 885-7779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 150 Francam Dr Ste 120, Fayetteville, NC 28311-4500 — (910) 487-1100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-13830 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-13810 (NC)

Record details

NPI number1407574056
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2022
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address113 Kite Cir Ne, Bolivia, NC 28422-3805

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fastmed Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Bolivia