JASON EDWARD WATTS PMHNP NPI 1083171326

NPI Information

  • NPI: 1083171326
  • Provider Name: JASON EDWARD WATTS, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 STONEFOREST DR STE 230
    WOODSTOCK, GA
    ZIP 30189
  • Phone: (470) 552-8470

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NPI Details

Jason Edward Watts, PMHNP is a psychiatric/mental health nurse practitioner in Woodstock, GA with 8 years of experience. Jason Edward Watts, PMHNP NPI is 1083171326. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 STONEFOREST DR STE 230
WOODSTOCK, GA
ZIP 30189-903
Phone: (470) 552-8470
Fax: (470) 437-3924

The NPI 1083171326 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2019 and was last updated on 10/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN-NP219889GEORGIAYes
2163W00000XRegistered NurseRN219889GEORGIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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