Jason Edward Watts, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-NP219889 Issued in GA

Practice address

100 Stoneforest Dr Ste 230
Woodstock, GA 30189-4903

Phone

(470) 552-8470

Fax

(470) 437-3924

NPI assigned

Feb 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.jasonwatts@124220.advancedmd-direct.com

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.

• Personal Recovery Network LLC

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Turning Point Care Center LLC

  • Special Hospital
  • Moultrie, GA
  • NPI 1205809571

  Single Specialty

  Medicare reassignment NPD
• Quresh Z Bandukwala, M.D.

  • Psychiatry Physician
  • Rome, GA
  • NPI 1124170097
  Medicare reassignment
• Turning Point Care Center LLC

  • Psychiatric Hospital
  • Moultrie, GA
  • NPI 1699000273
  NPD

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1083171326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STONEFOREST DR STE 230",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894903",
            "telephone_number": "470-552-8470",
            "fax_number": "470-437-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONEFOREST DR STE 230",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894903",
            "telephone_number": "470-552-8470",
            "fax_number": "470-437-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-22",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP219889",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN219889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Stout Warnken, LPC
• Tracy Faye Waters, LPC
• Harry Daniel Watkins Jr., M.D.
• Gwyn Morgan Watson
• Katie Jeanes Watson
• Jill Levey Waxman, PHD
• Weatherstone Medical Care LLC.
• Ashley Wedgworth, D.C.
• Michele Cloy Weeks, PT
• Samuel Wehby Jr., PT

• Psychiatric/Mental Health Nurse Practitioner in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.