Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Maxwell Watson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1316454002

Kenneth Maxwell Watson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Macon, Georgia. Qualified in 2017, 9 years ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group and works from 2 locations. Licensed in Georgia and Tennessee.

Years since qualifying
9
Licensed in
GA, TN
In the registry since
2018
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

777 Hemlock St
Macon, GA 31201-2102
Phone: (478) 765-4132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 — (470) 644-1274

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 222836 (GA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 25200 (TN)

Record details

NPI number1316454002
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 4, 2018
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023
Mailing address855 Mulberry St Apt 202, Macon, GA 31201-6750

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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