Active NPI
Margaret Ellen Watson
- Family Nurse Practitioner
- Gainesville, GA
National Provider Identifier
1093774424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN057926 NP
- Practice address
- 1498 Jesse Jewell Pkwy SE
Ste a
Gainesville, GA 30501-3874 - Phone
- (678) 596-1705
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN057926 NP | GA | Primary |
Addresses
Primary practice location
1498 Jesse Jewell Pkwy SE
Ste a
Gainesville, GA 30501-3874
Mailing address
333 Washington Ave N
Ste 5000
Minneapolis, MN 55401-1377
Phone (612) 659-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN057926 NP | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Past | Accepting new patients |
| Dekalb Medical Specialty Care Group LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
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- NPI 1134191836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1093774424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 WASHINGTON AVE N",
"address_2": "STE 5000",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554011377",
"telephone_number": "612-659-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1498 JESSE JEWELL PKWY SE",
"address_2": "STE A",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013874",
"telephone_number": "678-596-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "MARGARET",
"middle_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN057926 NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.