Active NPI
Eric Michael Watts
- Mental Health Counselor
- Decatur, GA
National Provider Identifier
1619488293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MSW007016
- Practice address
- 445 Winn Way
Decatur, GA 30030-1707 - Phone
- (404) 508-7700
- NPI assigned
- Oct 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MSW007016 | GA | Primary |
Addresses
Primary practice location
445 Winn Way
Decatur, GA 30030-1707
Mailing address
270 Carpenter Dr NE
Suite 400
Sandy Springs, GA 30328
Phone (678) 460-0345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MSW007016 | Other | GA | LMSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW007016 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Ties Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Sandy Springs, GA
- NPI 1275753782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1619488293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 CARPENTER DR NE",
"address_2": "SUITE 400",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "30328",
"telephone_number": "678-460-0345",
"fax_number": "678-460-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301707",
"telephone_number": "404-508-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-23",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "MSW007016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW",
"identifier": "MSW007016",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.