Individual provider Active NPI

Beverly Dawn Watkins, APN

  • Adult Health Nurse Practitioner
  • Lenoir City, TN
National Provider Identifier
1154557957
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
14009 Issued in TN
Practice address
1018 Highway 321 N
Lenoir City, TN 37771-6683
Phone
(865) 986-4450
Fax
(833) 908-2124
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 14009 TN Primary

Addresses

Primary practice location

1018 Highway 321 N
Lenoir City, TN 37771-6683

Mailing address

PO Box 26194
Belfast, ME 04915-2012
Phone (865) 584-4747

Other practice location 1

1362 N Gateway Ave
Rockwood, TN 37854-4108
Phone (865) 354-1220 ext. 146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20251210003100 TN Practitioner - Nurse Practitioner 4981198611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

101 Cherokee PL
Suite 107
Loudon, TN 37774-4162
Phone (865) 408-9344

1018 Hwy 321 N
Lenoir City, TN 37771-6683
Phone (865) 986-4450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14009TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Nov 25, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 25, 2025 Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1018 Highway 321 N
Lenoir City, TN 37771
Phone (865) 986-4450

Interoperability endpoints

  • Direct secure messaging: beverly.watkins.1@20785.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1154557957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26194",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152012",
            "telephone_number": "865-584-4747",
            "fax_number": "833-908-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 HIGHWAY 321 N",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716683",
            "telephone_number": "865-986-4450",
            "fax_number": "833-908-2124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1362 N Gateway Ave",
            "address_purpose": "LOCATION",
            "city": "Rockwood",
            "state": "TN",
            "postal_code": "378544108",
            "country_code": "US",
            "telephone_number": "865-354-1220 x146",
            "fax_number": "865-354-9446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "BEVERLY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "14009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.