Jada Unique Watkins, PN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5241616 Issued in FL

Practice address

600 Commercial CT Ste a
Savannah, GA 31406-3671

Phone

(912) 352-4357

Fax

(912) 352-4395

NPI assigned

Jul 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Advanced Practice Nurse

State licenses

Practice roles

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.

• Augusta Addiction Associates

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Savannah, GA
  • NPI 1972880417
  NPD (past)

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1588398564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COMMERCIAL CT STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063671",
            "telephone_number": "912-352-4357",
            "fax_number": "912-352-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COMMERCIAL CT STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063671",
            "telephone_number": "912-352-4357",
            "fax_number": "912-352-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JADA",
        "middle_name": "UNIQUE",
        "credential": "PN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5241616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Water'S Edge Counseling
• Donihue Waters, DDS MDS
• Jodi Waters, RN
• Kimbra Waters
• Daniel Watkins, LMFT, LPC, MAC
• Shantaniqua Watkins, RBT
• George Watmore
• Amber S Watson
• Archibald Morris Watson, MD
• Ashley Watson

• Licensed Practical Nurse in Savannah, GA
• Providers in Savannah, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.