Phuuwadith Wattanachayakul, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

111706 Issued in GA

Practice address

101 Woodruff Circle WMB 1105
Atlanta, GA 30322-3098

Phone

(404) 712-1504

NPI assigned

Jun 14, 2023

Last updated

Jun 22, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA

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

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1659055028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WOODRUFF CIRCLE WMB 1105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303223098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WOODRUFF CIRCLE WMB 1105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303223098",
            "telephone_number": "404-712-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTANACHAYAKUL",
        "first_name": "PHUUWADITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "111706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Watson
• Tori Alicia Watson
• Tyrone Watson, LPC
• Anne Marie Watt, OTR/L
• Tonya L Watt, PA-C
• Leslie C Watters, M.D.
• Abigail Charlotte Watts, MD
• Carla V Watts
• Catherine Watts, LMSW
• Dantey Maurice Watts, SURGICAL ASSISTANT

• Cardiovascular Disease Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.