Active NPI
Stephanie Marie Watson
- Physician Assistant
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-15352
- Practice address
- 720 Fenton Market Way Ste 140
Cary, NC 27511-7750 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Sep 18, 2019
- Last updated
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- No
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 | PA200001296 | DC | |
| Physician Assistant | 363A00000X | 4595 | CT | |
| Medical Physician Assistant | 363AM0700X | 4595 | CT | |
| Physician Assistant | 363A00000X | 0010-15352 | NC | Primary |
Addresses
Primary practice location
720 Fenton Market Way Ste 140
Cary, NC 27511-7750
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other practice location 1
21 Grand St
Hartford, CT 06106-1541
Phone (860) 550-7500
Other practice location 2
1350 Connecticut Ave NW Ste 1250
Washington, DC 20036-1728
Phone (202) 627-1901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Wake Forest University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1901 Hillandale Rd
Durham, NC 27705-2664
720 Fenton Market Way
Suite 140
Cary, NC 27511-7750
Phone (888) 663-6331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4595 | CT | MD | Oral and Maxillofacial Surgery (Dentist) |
| PA200001296 | DC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Past | Accepting new patients |
Locations
720 Fenton Market Way
Ste 140
Cary, NC 27511
1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355
Organizations & group practices 5
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.
-
dba Sutton Station Internal Medicine
- Internal Medicine Physician
- Durham, NC
- NPI 1316975972
-
- Family Medicine Physician
- Washington, DC
- NPI 1417571530
-
dba Duke Urgent Care
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1710120795
-
dba Duke Urgent Care
- Emergency Medicine Physician
- Durham, NC
- NPI 1780612713
-
dba Duke Primary Care
- Family Medicine Physician
- Durham, NC
- NPI 1225073554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1467002634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 FENTON MARKET WAY STE 140",
"city": "CARY",
"state": "NC",
"postal_code": "275117750",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "21 Grand St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061061541",
"country_code": "US",
"telephone_number": "860-550-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Connecticut Ave NW Ste 1250",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200361728",
"country_code": "US",
"telephone_number": "202-627-1901",
"fax_number": "415-252-7176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATSON",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA200001296",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "4595",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "4595",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-15352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.