MR. DANTEY MAURICE WATTS (NPI# 1770742934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770742934 |
| Entity Type | Individual |
| Full Name | MR. DANTEY MAURICE WATTS |
| Other Name | MR. DANTEY MAURICE WATTS |
| Credential | SURGICAL ASSISTANT |
| Practice Address |
4437 Estate Street Atlanta GA 30349-1808 |
| Mailing Address |
4437 Estate St Atlanta GA 30349-8846 |
| Practice Telephone | 7706958444 |
| Mailing Telephone | 7706958444 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2017-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4437 ESTATE STREET |
| City | ATLANTA |
| State | GA |
| Zip Code | 30349-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700335627 | Juma Gassim | Specialist/Technologist, Other | 7949 Roswell Rd., Apt. F, Atlanta, GA 30350 | 2016-10-04 |
| 1093074098 | Johnatan Lee Huskey | Specialist/Technologist, Other | 2004 Peachtree Road, Nw, Suite 100, Kasier Permanente At Piedmont Hospital, Atlanta, GA 30309 | 2012-05-10 |
| 1033447313 | Brandon Virdell King | Specialist/Technologist, Other | 5673 Peachtree Dunwoody Rd Ne Ste 825, Atlanta, GA 30342-1771 | 2009-11-25 |
| 1487626610 | Roxson Perry Blount IIi | Specialist/Technologist, Other | 8409 Dunwoody Pl, Atlanta, GA 30350-3367 | 2006-02-02 |
| 1093312225 | Andrea N Thomas | Specialist/Technologist, Other | 1320 Cimarron Pkwy, Atlanta, GA 30350-6857 | 2020-10-01 |
| 1093278939 | Sew Surgical Assisting LLC | Specialist/Technologist, Other | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2019-04-08 |
| 1275098477 | Roslyn Canary Carter | Specialist/Technologist, Other | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2019-02-01 |
| 1164930921 | Miguel Ceron | Specialist/Technologist, Other | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2018-01-15 |
| 1053828210 | Destiny Satterwhite | Specialist/Technologist, Other | 2001 Peachtree Rd Ne Ste 705, Atlanta, GA 30309-1476 | 2018-01-09 |
| 1891206512 | Amy Dahl | Specialist/Technologist, Other | 2001 Peachtree Rd Ne Ste 705, Atlanta, GA 30309-1476 | 2017-10-20 |
| Find all providers in ATLANTA | ||||
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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.