Jamal Watson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

3224 Lassiter Rd
Marietta, GA 30062-5142

Phone

(770) 640-6910

NPI assigned

Aug 4, 2017

Sex

Male

Sole proprietor

No

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.

• Young Harris College

  • Student Health Clinic/Center
  • Young Harris, GA
  • NPI 1144629932
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2017.

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1982129565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLLEGE ST",
            "city": "YOUNG HARRIS",
            "state": "GA",
            "postal_code": "305824137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 LASSITER RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625142",
            "telephone_number": "770-640-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JAMAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Watkins
• Cameron Baker Watson, D.M.D.
• Carolyn M. Watson, CRNA
• Donna M Watson, FNP
• Ervin Watson III, PT, DPT
• Jillian Watson, PT, DPT
• Justin Michael Watson, M.D.
• Timotheus George Watson, MD
• Wanda Duren Watson, LPC
• David Chester Watts, MD

• All providers in Marietta, GA
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.