Individual provider Active NPI

Carolyn M. Watson, CRNA

  • Certified Registered Nurse Anesthetist
  • Marietta, GA
National Provider Identifier
1154318913
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN111560 Issued in GA
Practice address
2550 Windy Hill Rd SE
Suite 302
Marietta, GA 30067-8665
Phone
(678) 574-0943
Fax
(678) 574-0943
NPI assigned
Oct 5, 2005
Last updated
Mar 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN111560 GA Primary

Addresses

Primary practice location

2550 Windy Hill Rd SE
Suite 302
Marietta, GA 30067-8665

Mailing address

3155 N Point Pkwy
Attn: Credentialing Dept, Building F, Suite 100
Alpharetta, GA 30005-5481
Phone (770) 645-9181

Other identifiers 1

IdentifierTypeStateIssuer
000576727CMedicaidGA

Other names 1

  • Carolyn Watson-Patt Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000394 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507856267 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN111560GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services of Atlanta LLC CurrentSince Oct 1, 2024 Accepting new patients
CPM Surgery Center LLC CurrentSince May 11, 2012 Accepting new patients
Emory Specialty Associates, LLC CurrentSince May 1, 2008 Accepting new patients
Mulkey Anesthesiology Associates LLC Current Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince May 11, 2012 Accepting new patients
Anesthesia Consultants of Georgia, LLC CurrentSince May 2, 2016 Accepting new patients
Radius Anesthesia of Georgia LLC CurrentSince May 21, 2023 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Georgia Anesthesia Providers LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Ambulatory Anesthesia of Atlanta, P C Past Accepting new patients
Georgia Pain and Spine Solutions, PC Past Accepting new patients
Anesthesiologists Associated PC Past Accepting new patients
American Anesthesiology of Tennessee, P.C. Past Accepting new patients

Locations

1201 W Peachtree St NW
Ste 2300
Atlanta, GA 30309
Phone (267) 817-8902

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

3870 Medical Park Dr
Ste 100
Austell, GA 30106

5303 Adams St NE
Ste D
Covington, GA 30014
Phone (770) 786-7971

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1154318913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N POINT PKWY",
            "address_2": "ATTN: CREDENTIALING DEPT, BUILDING F, SUITE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055481",
            "telephone_number": "770-645-9181",
            "fax_number": "770-645-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE",
            "address_2": "SUITE 302",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "678-574-0943",
            "fax_number": "678-574-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CAROLYN",
        "middle_name": "M.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN111560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000576727C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "WATSON-PATT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.