Individual provider Active NPI

Kristie Keyon Watts, FNP

  • Family Nurse Practitioner
  • Barnesville, GA
National Provider Identifier
1932808631
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN201793 Issued in GA
Practice address
164 Bradley Cir
Barnesville, GA 30204-1815
Phone
(678) 572-8563
NPI assigned
Mar 1, 2023
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 RN201793 GA Primary

Addresses

Primary practice location

164 Bradley Cir
Barnesville, GA 30204-1815

Mailing address

164 Bradley Cir
Barnesville, GA 30204-1815
Phone (678) 572-8563

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
I20241220001637 GA Practitioner - Nurse Practitioner 1759644560 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Locust Grove Family MedicineGroup PAC ID 1052306008, 5 clinicians

Practice addresses (Care Compare)

3778 Hwy 42
Locust Grove, GA 30248
Phone (678) 610-6649

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gracefully Touched Primary Care LLC Family CurrentSince May 4, 2026 Accepting new patients
Locust Grove Family Medicine CurrentSince May 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 5, 2024 Accepting new patients
Reliance Family Care Past Accepting new patients

Locations

125 Atlanta St
Barnesville, GA 30204

133 Forsyth St
Ste D
Barnesville, GA 30204

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

3778 Highway 42 S
Locust Grove, GA 30248
Phone (678) 610-6649

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Farmers Branch, TX 75244
Phone (469) 466-7007

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19518/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDIGDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1932808631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 BRADLEY CIR",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041815",
            "telephone_number": "678-572-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 BRADLEY CIR",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041815",
            "telephone_number": "678-572-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "KRISTIE",
        "middle_name": "KEYON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN201793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnesville, GA

Sources for this page

Verify at the official NPI Registry.