THOMAS EVANS WATTS III (NPI# 1457619884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457619884 |
| Entity Type | Individual |
| Full Name | THOMAS EVANS WATTS III |
| Other Name | EVAN WATTS |
| Credential | M.D. |
| Practice Address |
4909 Great River Drive Meridian MS 39305 |
| Practice Telephone | 6012828980 |
| Practice Fax Number | 6016936561 |
| Mailing Telephone | 6012828980 |
| Mailing Fax Number | 6016936561 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2019-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | E8773 | AR | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
26893 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821514944 | Thomas Caleb Watts | Physician Assistant | 1310 Woodland Dr, Elizabethtown, KY 42701-2651 | 2017-08-21 |
| 1891253092 | Thomas George Watts | Registered Nurse | 4711 Golf Rd Ste 1250, Skokie, IL 60076-1232 | 2019-03-06 |
| 1700045853 | Thomas Dale Watts | Nurse Anesthetist, Certified Registered | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2008-06-04 |
| 1932295128 | Thomas E Watts | Family Medicine | 17350 St Lukes Way, Suite 175, Conroe, TX 77384-4100 | 2006-10-05 |
| 1609815257 | Thomas J. Watts | Emergency Medicine | 1650 Skylyn Dr, Mary Black Memorial Hospital - Emergency Dept., Spartanburg, SC 29307-1047 | 2006-06-06 |
| Street Address |
4909 GREAT RIVER DRIVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831333871 | Lesley Robinson Vincent | Nurse Practitioner | 4909 Great River Drive, Meridian, MS 39305-2664 | 2009-04-21 |
| 1538641204 | Whitni Lauren Pinkerton | Nurse Practitioner | 4909 Great River Drive, Meridian, MS 39305 | 2018-08-30 |
| 1295085892 | Zaid Fakhri Altheeb | Internal Medicine | 4909 Great River Drive, Meridian, MS 39305 | 2012-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521053 | Shirley Home Care, LLC | Nurse's Aide | 4525 Poplar Springs Drive, Meridian, MS 39305 | 2020-09-08 |
| 1871017855 | Robbyn Lee | Nurse Practitioner | 4715 24th Place, Meridian, MS 39305 | 2017-08-01 |
| 1245686575 | Synergy Physical Therapy & Sports Medicine, LLC | Clinic/Center | 2447 47th Court, Suite F, Meridian, MS 39305 | 2016-05-05 |
| 1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1982042198 | Kennerh Provine Collins | Pharmacist | 2917 56th Court, Meridian, MS 39305 | 2013-06-10 |
| 1306284880 | A1 In Home Therapy | Community Health Worker | 211 North Hills Street J6, A1 In Home Therapy, Meridian, MS 39305 | 2013-06-06 |
| 1497192876 | Taylor Farland | Dentist | 2300 North Hills, Meridian, MS 39305 | 2013-05-27 |
| 1376814533 | Priscilla Miller | Nurse Practitioner | 4715 42nd Place, Meridian, MS 39305 | 2012-01-19 |
| 1497083927 | Kelley C Gowdy | Nurse Practitioner | 4711 Poplar Springs Drive, Meridian, MS 39305 | 2009-11-20 |
| Find all providers in zip 39305 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264003 | Donald K Stott | Internal Medicine | 3025 W Cherry Ln, Meridian, ID 83642-1125 | 2005-08-31 |
| 1942204284 | John B Hicks | Internal Medicine | 1213 56th St, Meridian, MS 39305-1447 | 2005-06-01 |
| 1407858541 | Randall Scott Joransen | Internal Medicine | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2005-06-01 |
| 1932540960 | Usman I Salahuddin | Internal Medicine | 1800 12th St, Meridian, MS 39301-4190 | 2013-07-05 |
| 1295085892 | Zaid Fakhri Altheeb | Internal Medicine | 4909 Great River Drive, Meridian, MS 39305 | 2012-09-12 |
| 1396927448 | Attila Roka | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2007-11-30 |
| 1477747632 | Idaho Heart Care | Internal Medicine | 3025 W Cherry Ln, Suite 205, Meridian, ID 83642-8531 | 2007-08-30 |
| 1225232895 | Larry Shea Shea Hailey | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2007-06-14 |
| 1538282678 | Brian P Nolan | Internal Medicine | 3525 E Louise Dr, Suite 400, Meridian, ID 83642 | 2007-04-06 |
| 1578620746 | Meridian Hma LLC | Internal Medicine | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2007-01-03 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.