Individual provider Active NPI

Marsha Davette Watson, FNP

  • Nurse Practitioner
  • Armuchee, GA
National Provider Identifier
1144745514
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN127081 Issued in GA
Practice address
49 Southern Woods Dr NE
Armuchee, GA 30105-2230
Phone
(770) 547-1200
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN127081 GA Primary

Addresses

Primary practice location

49 Southern Woods Dr NE
Armuchee, GA 30105-2230

Mailing address

49 Southern Woods Dr NE
Armuchee, GA 30105-2230
Phone (770) 547-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171026002351 GA Practitioner - Nurse Practitioner 7810263423 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graceful Touch Healthcare Providers 4 clinicians
Select Rehabilitation, LLC 1,935 clinicians

Practice addresses (Care Compare)

1420 Martha Berry Blvd NE
Suite 328
Rome, GA 30165-1602
Phone (706) 504-9888

2600 Compass Rd
Glenview, IL 60026-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN127081GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Graceful Touch Healthcare Providers CurrentSince Dec 4, 2023 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Apr 1, 2018 Accepting new patients
Transitional Care Physicians of Georgia PC CurrentSince Sep 12, 2017 Accepting new patients
Chronic Disease Management of Georgia, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144745514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 SOUTHERN WOODS DR NE",
            "city": "ARMUCHEE",
            "state": "GA",
            "postal_code": "301052230",
            "telephone_number": "770-547-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SOUTHERN WOODS DR NE",
            "city": "ARMUCHEE",
            "state": "GA",
            "postal_code": "301052230",
            "telephone_number": "770-547-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MARSHA",
        "middle_name": "DAVETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN127081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Armuchee, GA

Sources for this page

Verify at the official NPI Registry.