Active NPI
Devarra Watson Casal, MD
- Pediatrics Physician
- Atlanta, GA
National Provider Identifier
1699178293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 040341
- Practice address
- 215 Powers CV
Atlanta, GA 30327-3405 - Phone
- (404) 565-0247
- NPI assigned
- Sep 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 040341 | GA | Primary |
Addresses
Primary practice location
215 Powers CV
Atlanta, GA 30327-3405
Mailing address
PO Box 421158
Atlanta, GA 30342-8158
Phone (404) 565-0247
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040341 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411776000000",
"number": "1699178293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421158",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303428158",
"telephone_number": "404-565-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 POWERS CV",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303273405",
"telephone_number": "404-565-0247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASAL",
"first_name": "DEVARRA",
"middle_name": "WATSON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-27",
"last_updated": "2014-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "040341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.