Individual provider Active NPI

Tony Lee Watson, CRNA

  • Certified Registered Nurse Anesthetist
  • Winchester, TN
National Provider Identifier
1386723807
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-055696 Issued in AL
Practice address
185 Hospital Rd
Winchester, TN 37398-2404
Phone
(931) 962-4061
Fax
(931) 962-3343
NPI assigned
Nov 3, 2006
Last updated
Oct 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-055696 AL Primary

Addresses

Primary practice location

185 Hospital Rd
Winchester, TN 37398-2404

Mailing address

PO Box 2295
Asheville, NC 28802-2295
Phone (828) 398-5244

Other identifiers 1

IdentifierTypeStateIssuer
1511227MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050727000277 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789612219 Reassigns benefits to 2 organizations
I20170601002106 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789612219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Anesthesia ServicesGroup PAC ID 3678941424, 12 clinicians

Practice addresses (Care Compare)

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (256) 259-4444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia Hawaii, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2017 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2014 Accepting new patients
Verde Valley Medical Center Past Accepting new patients
Dekalb Anesthesia Associates, LLC Past Accepting new patients
Anes. Assc. of N. Alabama Past Accepting new patients

Locations

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061

Organizations & group practices 6

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 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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1386723807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2295",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288022295",
            "telephone_number": "828-398-5244",
            "fax_number": "828-360-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HOSPITAL RD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982404",
            "telephone_number": "931-962-4061",
            "fax_number": "931-962-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TONY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-055696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511227",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.