NPIMap

Individual provider Active NPI

Monica Olenna Watts, MD

  • Family Medicine Physician
  • Senoia, GA
National Provider Identifier
1043356355
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036313 Issued in GA
Practice address
7990 Wells St Ste 100
Senoia, GA 30276-2267
Phone
(470) 947-6010
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 036313 GA Primary

Addresses

Primary practice location

7990 Wells St Ste 100
Senoia, GA 30276-2267

Mailing address

745 Glynn St S
Fayetteville, GA 30214-2049
Phone (404) 929-8824

Other practice location 1

48 Main St
Suite 3-A
Senoia, GA 30276-1895
Phone (678) 723-0400

Other identifiers 1

IdentifierTypeStateIssuer
000543265MMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000496 GA Practitioner - Family Practice 9335192400 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

48 Main St
Suite 3a
Senoia, GA 30276-1895
Phone (678) 633-3260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036313GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Internal Medicine, LLC CurrentSince Jul 9, 2018 Accepting new patients
Piedmont Providers LLC PastSince Nov 12, 2023 Accepting new patients
Morehouse Healthcare, Inc. PastSince Jul 1, 2012 Accepting new patients
Papp Clinic Laboratory Past Accepting new patients

Locations

745 Glynn St S
Fayetteville, GA 30214
Phone (770) 599-1010

Organizations & group practices 6

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1043356355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 GLYNN ST S",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142049",
            "telephone_number": "404-929-8824",
            "fax_number": "404-929-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7990 WELLS ST STE 100",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302762267",
            "telephone_number": "470-947-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Main St",
            "address_2": "Suite 3-A",
            "address_purpose": "LOCATION",
            "city": "Senoia",
            "state": "GA",
            "postal_code": "302761895",
            "country_code": "US",
            "telephone_number": "678-723-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "MONICA",
        "middle_name": "OLENNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "036313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000543265M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Senoia, GA

Sources for this page

Verify at the official NPI Registry.