NPIMap

Individual provider Active NPI

Angela D Watson, DO

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1275601346
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1489 Issued in TN
Practice address
3445 Poplar Ave Ste 13
Memphis, TN 38111-4667
Phone
(901) 276-2357
Fax
(901) 276-2359
NPI assigned
Nov 30, 2006
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18099 MS
Internal Medicine Physician 207R00000X 1489 TN Primary

Addresses

Primary practice location

3445 Poplar Ave Ste 13
Memphis, TN 38111-4667

Mailing address

PO Box 42013
Memphis, TN 38174-2013
Phone (901) 276-2357

Other identifiers 4

IdentifierTypeStateIssuer
1416612OtherTNBCBS, BLUE CARE, TENNCARE SELECT
4074254OtherTNBCBSTN
3717056MedicaidTN
P00156491OtherTNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040310000399 TN Practitioner - Internal Medicine 5092603050 Reassigns benefits to 3 organizations
I20071029000259 MS Practitioner - Internal Medicine 5092603050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consolidated Medical Practices of Memphis,PLLCGroup PAC ID 1759459845, 113 clinicians

Practice addresses (Care Compare)

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2584
Phone (901) 261-0700

9684 Old Goodman Rd
Olive Branch, MS 38654-1726
Phone (662) 895-7609

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Watson Advanced Care, LLC Internal Medicine CurrentSince Feb 8, 2012 Accepting new patients
Crossroads Hospice of Tennessee, LLC CurrentSince Jan 5, 2021 Accepting new patients
Consolidated Medical Practices of Memphis,PLLC Internal Medicine CurrentSince Apr 1, 2009 Accepting new patients
Mississippi PHS PC Past Accepting new patients
Graceland Nursing Operator LLC Past Accepting new patients
Majestic Operations LLC Past Accepting new patients
Crossroads Hospice of Tennessee, LLC PastSince Nov 6, 2022 Accepting new patients
LP Memphis V, LLC Past Accepting new patients
Bartlett Operator, LLC Past Accepting new patients
Memphis Operator LLC Past Accepting new patients
Complete Healthcare Center Internal Medicine Past Accepting new patients

Locations

8119 Memphis Arlington Rd
Bartlett, TN 38133
Phone (901) 726-5600

1407 Union Ave
Ste 1007
Memphis, TN 38104
Phone (901) 233-2667

1669 Shelby Oaks Dr N
Ste 106
Memphis, TN 38134
Phone (901) 382-9292

1750 Madison Ave
Ste 401
Memphis, TN 38104
Phone (901) 276-2357

3445 Poplar Ave
Ste 13
Memphis, TN 38111
Phone (901) 233-2667

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

Interoperability endpoints

  • Direct secure messaging: awatson23017@mlh.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Crossroads Hospice of Tennessee, LLCMemphis, TN, CCN 441573 Hospice W-2 Managing Employee Apr 1, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 12

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1275601346",
    "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": "901-276-2357",
            "fax_number": "901-276-2359"
        },
        {
            "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": "901-276-2357",
            "fax_number": "901-276-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "18099",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "1489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, BLUE CARE, TENNCARE SELECT",
            "identifier": "1416612",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "4074254",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3717056",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00156491",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.