Active NPI
Donald C Watson, MD
- Pediatric Surgery Physician
- Memphis, TN
National Provider Identifier
1144288903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 15555
- Practice address
- 1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113 - Phone
- (901) 448-2300
- Fax
- (901) 448-6657
- NPI assigned
- May 2, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 15555 | TN | Primary |
Addresses
Primary practice location
1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113
Mailing address
66 N Pauline St
Suite 206
Memphis, TN 38105-5105
Phone (901) 448-7642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3007877 | Medicaid | TN |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15555 | TN | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Healthcare Primary Care Associates | Past | Accepting new patients | |
| Interventional Associates of Memphis, PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144288903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 N PAULINE ST",
"address_2": "SUITE 206",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381055105",
"telephone_number": "901-448-7642",
"fax_number": "901-448-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 NONCONNAH BLVD",
"address_2": "SUITE 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381322113",
"telephone_number": "901-448-2300",
"fax_number": "901-448-6657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "DONALD",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "TN",
"license": "15555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3007877",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.