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AZJAH WATSON CCC-SLP
NPI 1154053643
Speech-Language Pathologist in Cordova, TN

Active since June 24, 2022
70 TIMBER CREEK DR, CORDOVA, TN 38018(901) 312-9915 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2024, Oct 7, 2022 (2 updates tracked since 2022).

About Azjah Watson Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZJAH WATSON CCC-SLP (NPI 1154053643) is an individual speech-language pathologist provider in Cordova, Tennessee, licensed in Texas (122305) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1154053643
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAZJAH WATSONCredential: CCC-SLP
Location Address70 TIMBER CREEK DRCordova, TN 38018-4285
Mailing Address4774 Sea Isle RdMemphis, TN 38117-6636
Phone(901) 312-9915
Sole ProprietorYes
Enumeration DateJune 24, 2022
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1154053643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in TX · 122305✔ Licensed in TN · 7606
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
70 TIMBER CREEK DR, Cordova, TN 38018
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azjah Watson Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Azjah Watson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Healthcare Services Inc.
567 mi
Physical Therapist
3405 EL SALIDO PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 192 clinicians in this Medicare group
NPI 1871132357 (855) 239-3467

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALYNN ANN HIGHTOWER CFY-SLP
Student in an Organized Health Care Education/Training Program
70 TIMBER CREEK DR, SUITE 1
CORDOVA, TN 38018
Shelby County (901) 309-3077
TORI FORTNER OTR/L
Occupational Therapist
70 TIMBER CREEK DR
CORDOVA, TN 38018
Shelby County (901) 309-3077
JORDAN MICAELA GALLOWAY DPT
Physical Therapist
70 TIMBER CREEK DR
CORDOVA, TN 38018
Shelby County (901) 309-3077
MANDY CAROL ADAMS MA, CCC-SLP
Speech-Language Pathologist
70 TIMBER CREEK DR
CORDOVA, TN 38018
Shelby County (901) 309-3077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azjah Watson's NPI number?

The NPI number for Azjah Watson is 1154053643. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Azjah Watson located?

Azjah Watson practices at 70 Timber Creek Dr, Cordova, TN 38018. The listed phone number is (901) 312-9915.

What is Azjah Watson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Azjah Watson enrolled in Medicare?

Yes. Azjah Watson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Azjah Watson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Azjah Watson reassigns Medicare benefits to Legacy Healthcare Services Inc. (Cedar Park, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Azjah Watson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Azjah Watson accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Azjah Watson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Azjah Watson was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.