Scott Dean Watson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD0000019488 Issued in TN

Practice address

2333 Knob Creek Rd Ste 16
Johnson City, TN 37604-2007

Phone

(423) 975-0764

Fax

(423) 975-0141

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swatson@surgicalgroupjc.ssdirect.aprima.com
• FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

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.

• Wellmont Medical Associates Inc

  • Pulmonary Disease Physician
  • Kingsport, TN
  • NPI 1780986257

  Surgery

  Medicare reassignment NPD
• State of Franklin Healthcare Associates PLLC

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1063459410
  NPD
• Wellmont Medical Associates, Inc.

  • Psychiatry Physician
  • Johnson City, TN
  • NPI 1275393522
  NPD
• Wellmont Medical Associates, Inc.

  • Internal Medicine Physician
  • Bristol, TN
  • NPI 1558812198
  NPD

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1497732929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 KNOB CREEK RD STE 16",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042007",
            "telephone_number": "423-975-0764",
            "fax_number": "423-975-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 KNOB CREEK RD STE 16",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042007",
            "telephone_number": "423-975-0764",
            "fax_number": "423-975-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "SCOTT",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD0000019488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q004812",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Watauga Recovery Center Morristown P.C.
• Amy Elizabeth Waters, MS, RD, IBCLC
• Michelle Jordon Waters, FNP-BC
• Amber Laine Watson, DO
• Lorena Watson
• Ahmad A Wattad, MD
• Christopher James Watts, PHARM.D
• Brian K Way, D.O.
• Lynda G Weatherly, FNP
• Elizabeth June Weaver, APRN

• Surgery Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.