Individual provider Active NPI

Erica C Watts, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1891305496
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN249062 Issued in GA
Practice address
275 Sheraton Blvd
Macon, GA 31210-1359
Phone
(478) 745-5779
Fax
(478) 742-7796
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN249062 GA Primary

Addresses

Primary practice location

275 Sheraton Blvd
Macon, GA 31210-1359

Mailing address

275 Sheraton Blvd
Macon, GA 31210-1359
Phone (478) 745-5779

Other identifiers 1

IdentifierTypeStateIssuer
RN249062OtherGASTATE OF GEORGIA NURSING BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20201209000315 GA Practitioner - Nurse Practitioner 5395157713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as group
Quality
86.99
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Practitioners, LLC CurrentSince Aug 25, 2020 Accepting new patients

Locations

910 N 5th St
Ste E
Cordele, GA 31015
Phone (478) 745-5779

275 Sheraton Blvd
Ste 100
Macon, GA 31210
Phone (478) 745-5779

275 Sheraton Blvd
Macon, GA 31210
Phone (478) 474-7014

1715 Watson Blvd
Warner Robins, GA 31093
Phone (478) 742-0904

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CACGAA
  • Direct secure messaging: erica.watts@smcg.eclinicaldirectplus.com

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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1891305496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SHERATON BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101359",
            "telephone_number": "478-745-5779",
            "fax_number": "478-742-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SHERATON BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101359",
            "telephone_number": "478-745-5779",
            "fax_number": "478-742-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "ERICA",
        "middle_name": "C",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN249062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF GEORGIA NURSING BOARD",
            "identifier": "RN249062",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "275 Sheraton Blvd",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312101359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.