Individual provider Active NPI

Andrew T Watson, M.D.

  • Specialist
  • Bartlett, TN
National Provider Identifier
1033119474
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39793 Issued in TN
Practice address
2996 Kate Bond Rd Ste 105
Bartlett, TN 38133-4062
Phone
(901) 300-2971
Fax
(901) 384-8988
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 39793 TN Primary

Addresses

Primary practice location

2996 Kate Bond Rd Ste 105
Bartlett, TN 38133-4062

Mailing address

2996 Kate Bond Rd Ste 105
Bartlett, TN 38133-4062
Phone (901) 300-2971

Other practice location 1

2996 Kate Bond Rd Ste 305
Bartlett, TN 38133-4063
Phone (901) 300-2971

Other practice location 2

99 Doctors Dr Ste 700
Munford, TN 38058-6306
Phone (901) 837-7200

Other practice location 3

7243 Highway 64
Oakland, TN 38060-3403
Phone (901) 465-2227

Other practice location 4

8507 Hwy 51, Ste. 107
Millington, TN 38053
Phone (901) 873-2555

Other practice location 5

5780 Airline Rd Ste 112
Arlington, TN 38002-5982
Phone (901) 430-9418

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
I20050516000837 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6002857497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

2996 Kate Bond Rd
Suite 305
Memphis, TN 38133-4063
Phone (901) 300-2971

Hospital & facility affiliations

  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital-Crittenden, Inc Hospital, West Memphis, AR, CCN 040156
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
69.44
Promoting interoperability
100
Improvement activities
40
Cost
83.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39793TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Physician Network, LLC CurrentSince Sep 7, 2019 Accepting new patients
Sutherland Cardiology Clinic, P.C. Specialist Current Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
May Medical Group P.C. Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients

Locations

5780 Airline Rd
Ste 112
Arlington, TN 38002
Phone (901) 300-2971

2996 Kate Bond Rd
Ste 305
Bartlett, TN 38133
Phone (901) 300-2971

2996 Kate Bond Rd
Ste 105
Bartlett, TN 38133
Phone (901) 266-4112

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6005 Park Ave
Ste 500B
Memphis, TN 38119

1265 Union Ave
#8E
Memphis, TN 38104
Phone (901) 726-0999

7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792

99 Doctors Dr
Ste 700
Munford, TN 38058
Phone (901) 301-2971

7243 Highway 64
Oakland, TN 38060
Phone (901) 300-2971

Networks

  • MS PPO

Interoperability endpoints

  • Direct secure messaging: andrew.watson.1@16700.direct.athenahealth.com
  • Direct secure messaging: andrewtwatson@sccpc.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/2031/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1033119474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 KATE BOND RD STE 105",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334062",
            "telephone_number": "901-300-2971",
            "fax_number": "901-384-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 KATE BOND RD STE 105",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334062",
            "telephone_number": "901-300-2971",
            "fax_number": "901-384-8988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2996 Kate Bond Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334063",
            "country_code": "US",
            "telephone_number": "901-300-2971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Doctors Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Munford",
            "state": "TN",
            "postal_code": "380586306",
            "country_code": "US",
            "telephone_number": "901-837-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7243 Highway 64",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "TN",
            "postal_code": "380603403",
            "country_code": "US",
            "telephone_number": "901-465-2227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8507 Hwy 51, Ste. 107",
            "address_purpose": "LOCATION",
            "city": "Millington",
            "state": "TN",
            "postal_code": "38053",
            "country_code": "US",
            "telephone_number": "901-873-2555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5780 Airline Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TN",
            "postal_code": "380025982",
            "country_code": "US",
            "telephone_number": "901-430-9418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ANDREW",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "39793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.