Active NPI
Shawanna L Watson
- Basic Emergency Medical Technician
- Douglasville, GA
National Provider Identifier
1740133172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- A0130
- Practice address
- 517 Rocky Ridge Blvd
Douglasville, GA 30134-1526 - Phone
- (478) 874-5005
- NPI assigned
- Feb 16, 2026
- 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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | A0130 | GA | Primary |
Addresses
Primary practice location
517 Rocky Ridge Blvd
Douglasville, GA 30134-1526
Mailing address
517 Rocky Ridge Blvd
Douglasville, GA 30134-1526
Phone (478) 874-5005
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0130 | GA | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ten10 Enterprises LLC | Current | 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.
-
- Non-emergency Medical Transport (VAN)
- Dunwoody, GA
- NPI 1700739141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1740133172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 ROCKY RIDGE BLVD",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301341526",
"telephone_number": "478-874-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 ROCKY RIDGE BLVD",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301341526",
"telephone_number": "478-874-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "SHAWANNA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-16",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": "GA",
"license": "A0130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.