Individual provider Active NPI

Deann M Bullock Watkins, MD

  • Emergency Medicine Physician
  • Nashville, TN
National Provider Identifier
1437144656
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200500434 Issued in NC
Practice address
1818 Albion St
Nashville, TN 37208-2918
Phone
(615) 341-4363
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200500434 NC Primary

Addresses

Primary practice location

1818 Albion St
Nashville, TN 37208-2918

Mailing address

1818 Albion St
Nashville, TN 37208-2918
Phone (615) 341-4363

Other names 1

  • Dr. Deann Marie Bullock Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070814000738 TN Practitioner - Emergency Medicine 9638116445 Reassigns benefits to 2 organizations
I20230530002284 PA Practitioner - Emergency Medicine 9638116445

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200500434NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Metropolitan Hospital Authority CurrentSince Mar 1, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
TN-I Medical Services PC Past Accepting new patients
Emergency Medicine Physicians of Lenoir County PLLC Emergency Medicine Past Accepting new patients
Ehra Medical Services of Tennessee PC Emergency Medicine Past Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

4007 Clarksville Pike
Ste 200
Nashville, TN 37218
Phone (615) 341-4968

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

Interoperability endpoints

  • Direct secure messaging: deann.bullock.1@24969.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1437144656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 ALBION ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082918",
            "telephone_number": "615-341-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 ALBION ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082918",
            "telephone_number": "615-341-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK WATKINS",
        "first_name": "DEANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200500434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANN",
            "last_name": "BULLOCK",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.