DR. GRADY DEVAR WATT DDS
NPI 1265322432
Dentist - General Practice in Clarksdale, MS
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 and maintains a secondary practice location in Batesville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Grady Devar Watt Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Grady Watt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clarksdale, MS 38614
- Reassigned Medicare billing, Mississippi enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
CLARKSDALE, MS 38614
CLARKSDALE, MS 38614
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.
Which organization bills Medicare for Grady Watt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grady Watt reassigns Medicare benefits to Aaron E. Henry Community Health (Clarksdale, MS). 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 Grady Watt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grady Watt accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 11 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 15 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.
# Dr. Grady Devar Watt, DDS · NPI 1265322432
General Practice provider in Clarksdale, Mississippi. Individual provider, active in the CMS NPPES registry since July 8, 2025.
## Identity
- **NPI:** 1265322432 (Entity type: Individual)
- **Enumerated:** July 8, 2025
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 111356 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 OHIO AVE, Clarksdale, MS 38614-6020
- **Phone:** (662) 624-4292
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Aaron E. Henry Community Health (NPI 1104574847, Clarksdale, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265322432) · Data from the CMS NPPES public registry.