Individual provider Active NPI

Jasmine Ray Watson

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1366025884
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11383 Issued in GA
Practice address
22 14TH St NW Ste B
Atlanta, GA 30309-4793
Phone
(888) 663-6331
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11383 GA Primary

Addresses

Primary practice location

22 14TH St NW Ste B
Atlanta, GA 30309-4793

Mailing address

1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628
Phone (888) 663-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240125003246 GA Practitioner - Physician Assistant 3173976164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Morehouse School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Ga PCGroup PAC ID 2668907940, 36 clinicians

Practice addresses (Care Compare)

2900 Peachtree Rd NW
Suite 301
Atlanta, GA 30305-2193
Phone (470) 730-4747

4605 Roswell Rd
Atlanta, GA 30342-3000
Phone (678) 509-7462

764 Memorial Dr SE
Suite 106
Atlanta, GA 30316-1573
Phone (770) 783-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alex E. Rikhter, MD P.C. Current Accepting new patients

Locations

3867 Roswell Rd NE
Ste 100
Atlanta, GA 30342
Phone (678) 904-5611

Interoperability endpoints

  • Direct secure messaging: jasmine.watson.1@33029.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.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1366025884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR FL 19",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113628",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 14TH ST NW STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094793",
            "telephone_number": "888-663-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JASMINE",
        "middle_name": "RAY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.