1. Home
  2. Directory
  3. Mississippi
  4. Clarksdale
  5. Dentist
  6. NPI Profile

DR. GRADY DEVAR WATT DDS
NPI 1265322432
Dentist - General Practice in Clarksdale, MS

Active since July 08, 2025PECOS Enrolled
600 OHIO AVE, CLARKSDALE, MS 38614(662) 624-4292 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grady Devar Watt Dds NPPES

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

DR. GRADY DEVAR WATT DDS (NPI 1265322432) is an individual general practice provider in Clarksdale, Mississippi, licensed in Mississippi (111356) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Batesville, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265322432
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GRADY DEVAR WATTCredential: DDS
Location Address600 OHIO AVEClarksdale, MS 38614-6020
Mailing AddressPo Box 709Southaven, MS 38671-0008 · (662) 417-1499
Phone(662) 624-4292
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1265322432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 111356
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
600 OHIO AVE, Clarksdale, MS 38614
Open in Google Maps ↗

Secondary Practice Location 1

Location 1216 Highway 51 NBatesville, MS 38606-2311 · Phone (662) 563-1858

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grady Devar Watt Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719488717
PECOS Enrollment IDI20250830000836
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AARON E. HENRY COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
600 OHIO AVE
CLARKSDALE, MS 38614
Coahoma County (662) 624-4292
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
Optometrist
600 OHIO AVE
CLARKSDALE, MS 38614
Coahoma County (662) 624-4292
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
Optometrist
600 OHIO AVE
CLARKSDALE, MS 38614
Coahoma County (662) 624-4292
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
600 OHIO AVE
CLARKSDALE, MS 38614
Coahoma County (662) 624-4292

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 Grady Watt's NPI number?

The NPI number for Grady Watt is 1265322432. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Grady Watt located?

Grady Watt practices at 600 Ohio Ave, Clarksdale, MS 38614. The listed phone number is (662) 624-4292.

What is Grady Watt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Grady Watt enrolled in Medicare?

Yes. Grady Watt is registered in the Medicare PECOS enrollment system.

What insurance does Grady Watt accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Grady Watt 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 Grady Watt was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.