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

Paul Randall Watson

Individual provider Physician Assistant · NPI 1396031514

Paul Randall Watson is a Physician Assistant in Roanoke, Virginia. Qualified in 2011, 15 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
15
Licensed in
NC, VA
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (540) 981-7000
Fax: (540) 853-0931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09477 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 0110003595 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1396031514
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2011
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address1906 Belleview Ave Se, Roanoke, VA 24014-1838

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Roanoke