Individual provider Active NPI

Whitney Barris Watson, FNP-BC

  • Family Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1104594597
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-135697 Issued in AL
Practice address
731 Leighton Ave
Anniston, AL 36207-5761
Phone
(256) 741-6464
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 1-135697 AL Primary

Addresses

Primary practice location

731 Leighton Ave
Anniston, AL 36207-5761

Mailing address

731 Leighton Ave
Anniston, AL 36207-5761
Phone (256) 741-6464

Other practice location 1

400 E 10th St
Anniston, AL 36207-4716
Phone (256) 235-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210916000628 AL Practitioner - Nurse Practitioner 8325445448 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Health Care Authority of the City of AnnistonGroup PAC ID 3971408923, 41 clinicians
Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

400 E 10TH St
Anniston, AL 36202-4716
Phone (256) 235-5860

4100 McClellan Blvd
Anniston, AL 36201-2132
Phone (256) 235-2273

Hospital & facility affiliations

  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-135697ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Immediate Care, LLC CurrentSince Mar 1, 2024 Accepting new patients
The Health Care Authority of the City of Anniston CurrentSince Apr 1, 2022 Accepting new patients
Alabama Physicians Group LLC CurrentSince Aug 14, 2023 Accepting new patients
Anniston Pathology Current Accepting new patients
The Health Care Authority of the City of Anniston CurrentSince Apr 1, 2022 Accepting new patients
App of Alabama Ed PLLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

324 E 19th St
#201
Anniston, AL 36207
Phone (205) 409-2794

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

225 Helena Market Pl
Helena, AL 35080
Phone (205) 409-2794

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1104594597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075761",
            "telephone_number": "256-741-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075761",
            "telephone_number": "256-741-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362074716",
            "country_code": "US",
            "telephone_number": "256-235-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "WHITNEY",
        "middle_name": "BARRIS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-135697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.