Individual provider Active NPI

Marah J Watts, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1760499388
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN11725 Issued in TN
Practice address
6029 Walnut Grove Rd # C002
Memphis, TN 38120-2112
Phone
(901) 685-3490
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN98603 TN
Family Nurse Practitioner 363LF0000X APN11725 TN Primary

Addresses

Primary practice location

6029 Walnut Grove Rd # C002
Memphis, TN 38120-2112

Mailing address

6799 Great Oaks Rd Ste 250
Memphis, TN 38138-2584
Phone (901) 685-3490

Other identifiers 1

IdentifierTypeStateIssuer
3642019MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000806 TN Practitioner - Nurse Practitioner 5799707634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSK Group PCGroup PAC ID 4688574262, 138 clinicians

Practice addresses (Care Compare)

1244 Primary Pkwy
Memphis, TN 38119
Phone (901) 641-3000

Merit-based Incentive Payment System (MIPS)

Final score
82.43 of 100Reported as group
Quality
65.29
Promoting interoperability
97
Improvement activities
40
Cost
78.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN98603TNMDRegistered Nurse
11725TNMDMassage Therapist
APN11725TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Family CurrentSince Nov 1, 2024 Accepting new patients
Mark Shermer, M.D.,P.C. CurrentSince Feb 5, 2020 Accepting new patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince Dec 1, 2018 Accepting new patients
MSK Group, PC CurrentSince Nov 1, 2024 Accepting new patients
MSK Group PC Family Past Accepting new patients

Locations

3045 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 381-4664

2100 Exeter Rd
Ste 200
Germantown, TN 38138
Phone (901) 522-6440

6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347

6029 Walnut Grove Rd
#C2
Memphis, TN 38120
Phone (901) 685-3490

5210 Poplar Ave
Ste 200
Memphis, TN 38119
Phone (901) 682-9161

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

6005 Park Ave
Ste 807
Memphis, TN 38119
Phone (901) 288-6233

6005 Park Ave
Ste 309
Memphis, TN 38119
Phone (901) 682-5642

1244 Primacy Pkwy
Memphis, TN 38119
Phone (901) 767-8662

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

6286 Briarcrest Ave
Ste 200
Memphis, TN 38120
Phone (901) 259-1600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1760499388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6799 GREAT OAKS RD STE 250",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381382584",
            "telephone_number": "901-685-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD # C002",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-685-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "MARAH",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN98603",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN11725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3642019",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.