Active NPI
Dancy A. Watson, NNP
- Neonatal Nurse Practitioner
- Meridian, MS
National Provider Identifier
1508069535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 863416
- Practice address
- 2124 14TH St
Meridian, MS 39301-4040 - Phone
- (601) 553-6000
- NPI assigned
- Jun 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | R863416 | MS | |
| Neonatal Nurse Practitioner | 363LN0000X | 863416 | MS | Primary |
Addresses
Primary practice location
2124 14TH St
Meridian, MS 39301-4040
Mailing address
PO Box 749215
Atlanta, GA 30374-9215
Other practice location 1
1730 14th St Ste C
Meridian, MS 39301-4140
Phone (601) 703-9396
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R863416 | MS | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Physician Alliance, Inc | Current | Accepting new patients | |
| Urology Clinic of Meridian, P.a. | Current | Accepting new patients | |
| Anderson Physician Alliance, Inc. | Current | Accepting new patients | |
| Neonatal Services LTD | Past | Accepting new patients |
Locations
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Meridian, MS
- NPI 1760798227
-
- Rheumatology Physician
- Meridian, MS
- NPI 1669770772
-
- Urology Physician
- Meridian, MS
- NPI 1912088295
-
- Critical Care Neonatal Nurse Practitioner
- Meridian, MS
- NPI 1063432383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1508069535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749215",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 14TH ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014040",
"telephone_number": "601-553-6000"
}
],
"practiceLocations": [
{
"address_1": "1730 14th St Ste C",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393014140",
"country_code": "US",
"telephone_number": "601-703-9396",
"fax_number": "601-703-9926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATSON",
"first_name": "DANCY",
"middle_name": "A.",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MS",
"license": "R863416",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MS",
"license": "863416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.