Active NPI
Nancy M Watson, M.D.
- Internal Medicine Physician
- Demorest, GA
National Provider Identifier
1750305058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 042766
- Practice address
- 676 Historic Hwy 441 North
Demorest, GA 30535 - Phone
- (706) 754-8884
- Fax
- (706) 754-0160
- NPI assigned
- Jul 27, 2006
- Last updated
- Dec 7, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 042766 | GA | Primary |
Addresses
Primary practice location
676 Historic Hwy 441 North
Demorest, GA 30535
Mailing address
PO Box 1718
676 Historic Hwy 441 North
Demorest, GA 30535-1718
Phone (706) 754-8884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000718121A | Medicaid | GA | |
| 042766 | Other | GA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital Authority of Habersham County | Current | Accepting new patients | |
| The Hospital Authority of Habersham County | Current | Accepting new patients | |
| The Hospital Authority of Habersham County | Current | Accepting new patients |
Locations
541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000
Interoperability endpoints
- nancy.watson@hcmcmed.gadirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Acute Care Hospital
- Demorest, GA
- NPI 1689736282
-
- Clinical Medical Laboratory
- Demorest, GA
- NPI 1356473524
-
dba Habersham Surgical Services
- Surgery Physician
- Demorest, GA
- NPI 1619132990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1750305058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1718",
"address_2": "676 HISTORIC HWY 441 NORTH",
"city": "DEMOREST",
"state": "GA",
"postal_code": "305351718",
"telephone_number": "706-754-8884",
"fax_number": "706-754-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 HISTORIC HWY 441 NORTH",
"city": "DEMOREST",
"state": "GA",
"postal_code": "30535",
"telephone_number": "706-754-8884",
"fax_number": "706-754-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "NANCY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "042766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000718121A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "042766",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Demorest, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.