Organization Active NPI

Donald H. Watters MD

  • General Practice Physician
  • Athens, TN
National Provider Identifier
1134422918
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DONALD H. WATTERS MD
Practice address
711 Cook Dr
Suite 200
Athens, TN 37303-3486
Phone
(423) 507-8369
Fax
(423) 507-8387
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Donald H Watters, MDNPI 1003929472
Title
Owner
Phone
(423) 507-8369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

711 Cook Dr
Suite 200
Athens, TN 37303-3486

Mailing address

711 Cook Dr
Suite 200
Athens, TN 37303-3486
Phone (423) 507-8369

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1134422918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 COOK DR",
            "address_2": "SUITE 200",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033486",
            "telephone_number": "423-507-8369",
            "fax_number": "423-507-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COOK DR",
            "address_2": "SUITE 200",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033486",
            "telephone_number": "423-507-8369",
            "fax_number": "423-507-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD H. WATTERS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-507-8369",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.