Individual provider Active NPI

Nicholas Edward Watson, M.D.

  • Emergency Medicine Physician
  • Bartlett, TN
National Provider Identifier
1760822795
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
57002 Issued in TN
Practice address
2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone
(901) 820-7750
Fax
(901) 820-7751
NPI assigned
Jul 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 57002 TN Primary

Addresses

Primary practice location

2986 Kate Bond Rd
Bartlett, TN 38133-4003

Mailing address

2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone (901) 820-7750

Other names 1

  • Nic Edward Watson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160411000589 IL Practitioner - Emergency Medicine 6709189269 Reassigns benefits to 1 organization
I20180524000219 TN Practitioner - Emergency Medicine 6709189269 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone (901) 820-7000

Hospital & facility affiliations

  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Apr 12, 2016 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Apr 12, 2016 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1760822795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2986 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334003",
            "telephone_number": "901-820-7750",
            "fax_number": "901-820-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334003",
            "telephone_number": "901-820-7750",
            "fax_number": "901-820-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "NICHOLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "57002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIC",
            "last_name": "WATSON",
            "middle_name": "EDWARD",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.