James Edwin Watson Jr., DNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9459097 Issued in FL

Practice address

506 4TH St NW
Jasper, FL 32052-6603

Phone

(386) 792-0700

Fax

(386) 406-8370

NPI assigned

Apr 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Watson Healthcare LLC 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Lake City, FL, CCN 107420
• SGMC Health Hospital, Valdosta, GA, CCN 110122

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Watson Healthcare LLC

  • Primary Care Clinic/Center
  • Jasper, FL
  • NPI 1548872609

  FL

  Medicare reassignment Care Compare group NPD
• Madison County Hospital Health Systems, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Madison, FL
  • NPI 1083684856
  NPD (past)
• Georgia Sports Medicine and Orthopedic Clinic, PC

  • Orthopaedic Surgery Physician
  • Tifton, GA
  • NPI 1023217171
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Health Services (Certified), Inc.

  • Home Health Agency
  • Lake City, FL
  • NPI 1669406377
  Care Compare affiliation Name & address match
• South Georgia Medical Center Inc

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1659637312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 4TH ST NW",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320526603",
            "telephone_number": "386-792-0700",
            "fax_number": "386-406-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 4TH ST NW",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320526603",
            "telephone_number": "386-792-0700",
            "fax_number": "386-406-8370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 5th Ave NW Ste A",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "FL",
            "postal_code": "320527801",
            "country_code": "US",
            "telephone_number": "386-792-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JAMES",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-07",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN201031",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9459097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry B. B. Smith Jr., D.M.D
• Timberly Lauren Steichen, PTA
• Suwannee FL Opco LLC
• Daisy Vickers, R.N.
• Watson Healthcare LLC
• Nancy Wiegand, R.N.
• Keonjala Shanae Williams, PHARMD
• Nicole Wilson

• All providers in Jasper, FL
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.

Verify at the official NPI Registry.