Timothy R Watson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95003063 Issued in CA

Practice address

Acute Care and Family Clininc 351 Peoples Dr
351 Peoples Dr
Pontotoc, MS 38863

Phone

(662) 489-2777

NPI assigned

Sep 16, 2015

Last updated

Feb 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pontotoc Health Services, Inc.Group PAC ID 6002895356, 18 clinicians

Tri-Vista Rehab, Inc.Group PAC ID 0345390308, shared by 3 NPIs, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
• Pontotoc Health Service Inc Cah Hospital, Pontotoc, MS, CCN 251308
• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
• Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothywatson2@nmhs.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pontotoc Health Services, Inc.

  dba Pontotoc Health Services CAH

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1821103516
  Medicare reassignment Care Compare group NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• Pontotoc Health Services, Inc.

  dba Pontotoc Medical Clinic

  • Rural Health Clinic/Center
  • Pontotoc, MS
  • NPI 1538576772
  NPD
• Pontotoc Health Services, Inc.

  dba Pontotoc Health Services CAH - Swing Bed

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1962512871
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital Union County, Inc.

  • General Acute Care Hospital
  • New Albany, MS
  • NPI 1780648352
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North MS Medical Center Home Health Agency

  • Home Health Agency
  • Tupelo, MS
  • NPI 1003871344
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation
• Pontotoc Health Services, Inc.

  dba Pontotoc Health Services CAH

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1821103516
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1003285461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CR 4091",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "251-604-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ACUTE CARE AND FAMILY CLININC 351 PEOPLES DR",
            "address_2": "351 PEOPLES DR",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "38863",
            "telephone_number": "662-489-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003063",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95003063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Pontotoc, MS
• Providers in Pontotoc, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.