NPIMap

Organization Active NPI

Community Wellness Partners, PLLC

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1427872290
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
COMMUNITY WELLNESS PARTNERS, PLLC
Practice address
5113 Kingston Pike Ste D4
Knoxville, TN 37919-5183
Phone
(865) 230-1500
Fax
(865) 246-2106
NPI assigned
Nov 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Ashton Mencer Watson, APRN, FNP-CNPI 1659773190
Title
Owner. Nurse Practitioner
Phone
(865) 230-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

5113 Kingston Pike Ste D4
Knoxville, TN 37919-5183

Mailing address

PO Box 5777
Maryville, TN 37802-5777
Phone (865) 246-2104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250221003571 TN Part B Supplier - Clinic/Group Practice 3476073388 Receives reassigned benefits from 7 practitioners
Practice locations: Knoxville, TN; Lenoir City, TN; Newport, TN; Oak Ridge, TN; Ooltewah, TN; Powell, TN; Chattanooga, TN; Clinton, TN…
O20260605002872 GA Part B Supplier - Clinic/Group Practice 3476073388 Practice locations: Rossville, GA

National Provider Directory

National Provider Directory

Locations

960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178

136 Canton Hollow Rd
Knoxville, TN 37934
Phone (865) 392-1300

9649 Westland Dr
Knoxville, TN 37922
Phone (865) 223-6422

5113 Kingston Pike
#D4
Knoxville, TN 37919

5113 Kingston Pike
Ste D4
Knoxville, TN 37919
Phone (865) 230-1500

375 Hedrick Dr
Newport, TN 37821
Phone (423) 613-4585

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1427872290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5777",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378025777",
            "telephone_number": "865-246-2104",
            "fax_number": "865-246-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 KINGSTON PIKE STE D4",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195183",
            "telephone_number": "865-230-1500",
            "fax_number": "865-246-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "MENCER WATSON",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_title_or_position": "OWNER. NURSE PRACTITIONER",
        "authorized_official_telephone_number": "865-230-1500",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.