Active NPI
Carolyn M. Watson, CRNA
- Certified Registered Nurse Anesthetist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN111560
- 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, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000576727C | Medicaid | GA |
Other names 1
- Carolyn Watson-Patt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN111560 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services of Atlanta LLC | Current | Accepting new patients | |
| CPM Surgery Center LLC | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| Mulkey Anesthesiology Associates LLC | Current | Accepting new patients | |
| Interventional Spine and Pain Management Ambulatory Surgical Center | Current | Accepting new patients | |
| Anesthesia Consultants of Georgia, LLC | Current | Accepting new patients | |
| Radius Anesthesia of Georgia LLC | Current | 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
- 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.
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- Lagrange, GA
- NPI 1407864168
-
- Anesthesiology Physician
- Austell, GA
- NPI 1417288069
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1861996225
-
- Specialist
- Lithonia, GA
- NPI 1760752430
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1124657465
-
- Ambulatory Surgical Clinic/Center
- Austell, GA
- NPI 1376716316
-
- Ambulatory Surgical Clinic/Center
- Conyers, GA
- NPI 1750420147
-
- Anesthesiology Physician
- Marietta, GA
- NPI 1164418489
-
- Certified Registered Nurse Anesthetist
- Marietta, GA
- NPI 1134366172
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Hiram, GA
- NPI 1255820502
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1043278443
Nurse Anesthetist, Certified Registered
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.