Individual provider Active NPI

Amy Charron Watson, M.D.

  • Pediatrics Physician
  • Concord, NH
National Provider Identifier
1780046698
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21718 Issued in NH
Practice address
22 Bridge St Ste 5
Concord, NH 03301-4987
Phone
(603) 856-7236
Fax
(603) 600-8941
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21718 NH Primary

Addresses

Primary practice location

22 Bridge St Ste 5
Concord, NH 03301-4987

Mailing address

22 Bridge St Ste 5
Concord, NH 03301-4987
Phone (603) 856-7236

Other identifiers 1

IdentifierTypeStateIssuer
21718OtherNHMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL breakthroughpediatrics.atlas.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250731000920 NH Practitioner - Pediatric Medicine 9537558838 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of NH, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1780046698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRIDGE ST STE 5",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014987",
            "telephone_number": "603-856-7236",
            "fax_number": "603-600-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRIDGE ST STE 5",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014987",
            "telephone_number": "603-856-7236",
            "fax_number": "603-600-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "AMY",
        "middle_name": "CHARRON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "21718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "21718",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "breakthroughpediatrics.atlas.md",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "22 Bridge St Ste 5",
            "city": "Concord",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033014987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.