Individual provider Active NPI

Donald H. Watters, MD

  • Family Medicine Physician
  • Etowah, TN
National Provider Identifier
1003929472
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14161 Issued in TN
Practice address
305 Grady Rd
Etowah, TN 37331-1910
Phone
(423) 781-7243
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14161 TN Primary

Addresses

Primary practice location

305 Grady Rd
Etowah, TN 37331-1910

Mailing address

6141 Shallowford Rd Ste 100
Chattanooga, TN 37421-1663
Phone (423) 498-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070403000692 TN Practitioner - Family PracticePractitioner - General Practice 3476657230 Practice locations: Etowah, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Skin & Cancer Clinic Past Accepting new patients
Etowah Family Practice PLC Family Medicine Past Accepting new patients
Athens Physicians Practice LLC Past Accepting new patients
Athens Physicians Practice LLC Family Medicine Past Accepting new patients
Donald H. Watters MD PastSince Jul 1, 2012 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1003929472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 SHALLOWFORD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211663",
            "telephone_number": "423-498-2005",
            "fax_number": "423-498-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 GRADY RD",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311910",
            "telephone_number": "423-781-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "DONALD",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "14161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Etowah, TN

Sources for this page

Verify at the official NPI Registry.