Individual provider Active NPI

Tiffany Watson, FNP-BC

  • Family Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1033095310
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907639 Issued in MS
Practice address
3600 Bluecutt Rd Ste 101
Columbus, MS 39705-1397
Phone
(662) 570-4770
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907639 MS Primary

Addresses

Primary practice location

3600 Bluecutt Rd Ste 101
Columbus, MS 39705-1397

Mailing address

3600 Bluecutt Rd Ste 101
Columbus, MS 39705-1397
Phone (662) 570-4770

Other practice location 1

3654B New Hope Rd
Columbus, MS 39702-8521
Phone (662) 329-1488

Other practice location 2

56 Dutch Ln
Columbus, MS 39702-5500
Phone (662) 329-3808

Other practice location 3

4508 Highway 45 N
Columbus, MS 39705-2917
Phone (662) 328-9702

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251002002516 MS Practitioner - Nurse Practitioner 3274039896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dutch Medical Clinics, IncGroup PAC ID 9234376088, 28 clinicians

Practice addresses (Care Compare)

3600 Bluecutt Rd
Columbus, MS 39705-1303
Phone (662) 570-4770

Hospital & facility affiliations

  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
907639MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dutch Medical Clinics, Inc CurrentSince Sep 17, 2025 Accepting new patients
Dutch Medical Clinics, Inc. Family Past Accepting new patients

Locations

56 Dutch Ln
Columbus, MS 39702
Phone (662) 329-3808

3654B New Hope Rd
Columbus, MS 39702
Phone (662) 329-1488

3600 Bluecutt Rd
Columbus, MS 39705
Phone (662) 570-4770

4508 Highway 45 N
Columbus, MS 39705
Phone (662) 328-9702

3600 Bluecutt Rd
Ste 101
Columbus, MS 39705
Phone (662) 570-4770

Interoperability endpoints

  • Direct secure messaging: tiffany.watson.2@17762.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1033095310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 BLUECUTT RD STE 101",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051397",
            "telephone_number": "662-570-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BLUECUTT RD STE 101",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051397",
            "telephone_number": "662-570-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3654B New Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397028521",
            "country_code": "US",
            "telephone_number": "662-329-1488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "56 Dutch Ln",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397025500",
            "country_code": "US",
            "telephone_number": "662-329-3808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4508 Highway 45 N",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397052917",
            "country_code": "US",
            "telephone_number": "662-328-9702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TIFFANY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.