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

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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