Organization Active NPI

Watson Primary Care PLLC

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1861863961
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD28746 Issued in TN
Legal business name
WATSON PRIMARY CARE PLLC
Practice address
7833 Old Harding Pike
Nashville, TN 37221-3907
Phone
(615) 646-7962
Fax
(615) 646-7694
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Stephen Mark Watson, MDNPI 1730102948
Title
Owner
Phone
(615) 646-7694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD28746 TN Primary

Addresses

Primary practice location

7833 Old Harding Pike
Nashville, TN 37221-3907

Mailing address

7833 Old Harding Pike
Nashville, TN 37221-3907
Phone (615) 646-7692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151201001605 TN Part B Supplier - Clinic/Group Practice 4587964309 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

7833 Old Harding Pike
Nashville, TN 37221
Phone (615) 249-4700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1861863961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7833 OLD HARDING PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372213907",
            "telephone_number": "615-646-7692",
            "fax_number": "615-646-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7833 OLD HARDING PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372213907",
            "telephone_number": "615-646-7962",
            "fax_number": "615-646-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-646-7694",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD28746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.