Active NPI
Holly A Watson, MMS, PA-C
- Physician Assistant
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10003219A
- Practice address
- 2 Miranova PL Ste 500
Columbus, OH 43215-7052 - Phone
- (614) 321-9743
- NPI assigned
- Apr 17, 2020
- Last updated
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10003219A | IL | |
| Physician Assistant | 363A00000X | 10003219A | IN | Primary |
| Medical Physician Assistant | 363AM0700X | NU | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
2 Miranova PL Ste 500
Columbus, OH 43215-7052
Mailing address
2 Miranova PL Ste 500
Columbus, OH 43215-7052
Other practice location 1
17840 Cumberland Rd
Noblesville, IN 46060-5409
Phone (317) 574-1254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
697 Pro Med LN
Carmel, IN 46032-5323
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10003219A | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allcare Rheumatology, LLC | Past | Accepting new patients | |
| Andhealth LLC | Past | Accepting new patients |
Interoperability endpoints
- hollyautumn.watson.p40@direct.aara1.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Rheumatology Physician
- Westfield, IN
- NPI 1477047256
-
- Public Health or Welfare Agency
- Columbus, OH
- NPI 1720936313
-
- Rheumatology Physician
- Noblesville, IN
- NPI 1548512213
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1376163592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MIRANOVA PL STE 500",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432157052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MIRANOVA PL STE 500",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432157052",
"telephone_number": "614-321-9743"
}
],
"practiceLocations": [
{
"address_1": "17840 Cumberland Rd",
"address_purpose": "LOCATION",
"city": "Noblesville",
"state": "IN",
"postal_code": "460605409",
"country_code": "US",
"telephone_number": "317-574-1254",
"fax_number": "317-674-0060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATSON",
"first_name": "HOLLY",
"middle_name": "A",
"credential": "MMS, PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "10003219A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10003219A",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.