Watson Advanced Care, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WATSON ADVANCED CARE, LLC

Practice address

3445 Poplar Ave Ste 13
Memphis, TN 38111-4667

Phone

(901) 233-2667

Fax

(901) 276-2357

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Angela D Watson, D.O.NPI 1275601346

Title

Owner

Phone

(901) 233-2667

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Enrollment records 2

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela D Watson, DO

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1275601346

  Internal Medicine, MS, TN

  Medicare reassignment NPD Authorized official
• Martha Katheryn Ballard, FNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1710163373
  NPD (past)
• Brenda Heffner, NP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1942530373
  NPD (past)
• Rachael Smith

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1750938643
  NPD (past)
• Ralph Taylor, MD

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1417005711

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1235401043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42013",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381742013",
            "telephone_number": "901-233-2667",
            "fax_number": "901-276-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 POPLAR AVE STE 13",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114667",
            "telephone_number": "901-233-2667",
            "fax_number": "901-276-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON ADVANCED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-233-2667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Watkins, B.A.
• Mialika Kinya Watkins, D.D.S.
• Nicholas Watkins, M.D.
• Nita Watkins, CMA
• Rubye K Watkins, PHARMD
• Angela D Watson, DO
• Anne N Watson, FNP
• Brenda Black Watson, B.A.
• Cayla Camille Watson, PTA
• Charles R. Watson, MD

• All providers in Memphis, TN
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.