Individual provider Active NPI

Carla V Watts

  • Independent Duty Medical Technicians
  • Atlanta, GA
National Provider Identifier
1104750652
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
License
CN0014182423 Issued in GA
Practice address
6545 Bellburn Rd
Atlanta, GA 30349-4611
Phone
(404) 492-3422
Fax
(404) 492-3422
NPI assigned
Jun 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical TechniciansGroup: 193400000X SINGLE SPECIALTY GROUP 1710I1003X CN0014182423 GA Primary

Addresses

Primary practice location

6545 Bellburn Rd
Atlanta, GA 30349-4611

Mailing address

6545 Bellburn Rd
Atlanta, GA 30349-4611
Phone (404) 492-3422

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1104750652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 BELLBURN RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303494611",
            "telephone_number": "404-492-3422",
            "fax_number": "404-492-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 BELLBURN RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303494611",
            "telephone_number": "404-492-3422",
            "fax_number": "404-492-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "CARLA",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "GA",
            "license": "CN0014182423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.