Tequasia Watts

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

034-R-2040 Issued in GA

Practice address

508 Gaskin Ave S
Douglas, GA 31533-1806

Phone

(912) 292-8722

NPI assigned

Apr 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gracious Companions LLC

  • In Home Supportive Care Agency
  • Douglas, GA
  • NPI 1437881307

  In Home Supportive Care

  NPD Authorized official

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1033799010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROCKBOROUGH TER",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833848",
            "telephone_number": "678-637-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GASKIN AVE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315331806",
            "telephone_number": "912-292-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "TEQUASIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "034-R-2040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Walker, PHARMD
• Meagan Louise Walker, PHARMACIST
• Wallace Steve Anderson DO, PC
• Ware Visiting Nurses Service, Inc
• Brian Keith Waters, D.C.
• Julie Weaver, RDH
• Jeffrey Philip Weems, ATC
• Kristy A Weems, PT
• Westside Drug Inc
• Westside Drugs Inc

• In Home Supportive Care Agency in Douglas, GA
• Providers in Douglas, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.