Individual provider Active NPI

Anne Kathryn Watson, MD

  • Emergency Medicine Physician
  • Ocean Springs, MS
National Provider Identifier
1609371624
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
31484 Issued in MS
Practice address
3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone
(228) 818-1111
NPI assigned
Mar 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 31484 MS Primary

Addresses

Primary practice location

3109 Bienville Blvd
Ocean Springs, MS 39564-4361

Mailing address

105 Giverny PL
Lafayette, LA 70508-7017
Phone (337) 257-3482

Other practice location 1

1 Childrens Way # 512-16
Little Rock, AR 72202-3500
Phone (501) 364-2833

Other practice location 2

4301 W Markham St # 584
Little Rock, AR 72205-7101
Phone (501) 686-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210810000465 AR Practitioner - Emergency Medicine 2961750484 Reassigns benefits to 2 organizations
I20231024004245 MS Practitioner - Emergency Medicine 2961750484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Emergency Department Services PCGroup PAC ID 7113453960, 40 clinicians

Practice addresses (Care Compare)

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
69.06
Promoting interoperability
81
Improvement activities
40
Cost
83.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Heart Hospital, LLC CurrentSince Jul 1, 2021 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jul 1, 2021 Accepting new patients
Emergency Room Group LTD Emergency Medicine CurrentSince Jul 5, 2023 Accepting new patients
Mississippi Emergency Department Services PC Emergency Medicine CurrentSince Nov 26, 2024 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients

Locations

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

1701 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 219-7000

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1609371624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GIVERNY PL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087017",
            "telephone_number": "337-257-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644361",
            "telephone_number": "228-818-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Childrens Way # 512-16",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722023500",
            "country_code": "US",
            "telephone_number": "501-364-2833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 584",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ANNE",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "31484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.