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

Sex

Male

Sole proprietor

Yes

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

• Pontotoc Health Services, Inc.

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1821103516

  MS

  Medicare reassignment Care Compare group NPD
• Pontotoc Health Services, Inc.

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

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1962512871
  Care Compare group NPD
• Pontotoc Health Services, Inc.

  • Rural Health Clinic/Center
  • Ecru, MS
  • NPI 1053728139
  Care Compare group
• Pontotoc Health Services, Inc.

  • Rural Health Clinic/Center
  • New Albany, MS
  • NPI 1063813335
  Care Compare group
• Tri-Vista Rehab, Inc

  • Rehabilitation Clinic/Center
  • Richton, MS
  • NPI 1265025522
  Care Compare group
• Tri-Vista Rehab, Inc

  • Rehabilitation Clinic/Center
  • Plantersville, MS
  • NPI 1386240893
  Care Compare group
• Tri-Vista Rehab, Inc

  • Physical Therapist
  • Tupelo, MS
  • NPI 1982799516
  Care Compare group
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  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

  Hospital

  Care Compare affiliation
• North Mississippi Medical Center, Inc.

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

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460

  Hospital

  Care Compare affiliation
• Pontotoc Health Services, Inc.

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1821103516

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pontotoc Health Services, Inc. 18 clinicians

Tri-Vista Rehab, Inc. 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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2016.

{
    "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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• Deborah Traylor Wilmoth, NURSE PRACTITIONER
• Gwen Garibaldi Wolford, FNP
• Holly Wood, FNP-C

• All providers in Pontotoc, MS
• 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.