ANDREA WATKINS-DAVENPORT
NPI 1699632141
Nurse Practitioner - Family in Jonesboro, GA
About Andrea Watkins-davenport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA WATKINS-DAVENPORT (NPI 1699632141) is an individual family provider in Jonesboro, Georgia, licensed in Georgia (APRN-NP315888) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrea Watkins-davenport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andrea Watkins-davenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Decatur, GA 30032
- Reassigned Medicare billing, Georgia enrollment
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 30236 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JONESBORO, GA 30236
JONESBORO, GA 30236
JONESBORO, GA 30236
JONESBORO, GA 30236
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 Andrea Watkins-davenport's NPI number?
The NPI number for Andrea Watkins-davenport is 1699632141. It was assigned to this individual provider in the NPPES registry on January 7, 2026.
Where is Andrea Watkins-davenport located?
Andrea Watkins-davenport practices at 2400 Mount Zion Pkwy, Jonesboro, GA 30236. The listed phone number is (404) 365-0966.
What is Andrea Watkins-davenport's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Andrea Watkins-davenport enrolled in Medicare?
Yes. Andrea Watkins-davenport is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andrea Watkins-davenport's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Watkins-davenport reassigns Medicare benefits to Sereni Health LLC (Decatur, GA). 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 Andrea Watkins-davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrea Watkins-davenport was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Andrea Watkins-Davenport · NPI 1699632141
Family physician in Jonesboro, Georgia. Individual provider, active in the CMS NPPES registry since January 7, 2026.
## Identity
- **NPI:** 1699632141 (Entity type: Individual)
- **Enumerated:** January 7, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP315888 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2400 MOUNT ZION PKWY, Jonesboro, GA 30236-2500
- **Phone:** (404) 365-0966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sereni Health LLC (NPI 1841120466, Decatur, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 17, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1699632141) · Data from the CMS NPPES public registry.