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

Zackary Charles Watson

Individual provider Physician Assistant · NPI 1588234033

Zackary Charles Watson is a Physician Assistant in Tullahoma, Tennessee. Qualified in 2022, 4 years ago. Practices with Vital Care Clinic of Estill Springs, a 2-clinician group and works from 3 locations. Licensed in Alabama and Tennessee.

Years since qualifying
4
Licensed in
AL, TN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1321 Cedar Ln
Tullahoma, TN 37388-2227
Phone: (931) 222-4207
Show map & directions

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

Additional practice locations (2)

  • 24623 Union Hill Rd, Ardmore, TN 38449-3101 — (931) 472-2143
  • 32 Memorial Dr, Winchester, TN 37398-2400 — (931) 967-0200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5284 (TN)
Physician Assistant Taxonomy 363A00000X · Licence PA.2066 (AL)

Record details

NPI number1588234033
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2021
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023
Mailing address415 W Golf Rd Ste 26, Arlington Heights, IL 60005-3923

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Vital Care Clinic Of Estill Springs — 2 clinicians
Accepts Medicare assignment Not indicated

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