Active NPI
Randi April Watkins, FNP
- Family Nurse Practitioner
- Carthage, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R858535
- Practice address
- 407 S Valley St
Carthage, MS 39051-4051 - Phone
- (601) 298-0333
- NPI assigned
- Jul 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R858535 | MS | Primary |
Addresses
Primary practice location
407 S Valley St
Carthage, MS 39051-4051
Mailing address
PO Box 23996
Jackson, MS 39225-3996
Phone (601) 206-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09809517 | Medicaid | MS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Mississippi School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 B S Pearl St
Carthage, MS 39051-4108
Phone (601) 298-0333
332 Hwy 12 W
Kosciusko, MS 39090-3209
Phone (662) 289-1800
340 Hwy 12 W
Kosciusko, MS 39090-3209
Phone (662) 289-3588
Hospital & facility affiliations
- Accentcare Home Health of Carthage
- Mississippi Homecare of Jackson
- Baptist Medical Center-Leake
- Mississippi Baptist Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of Mississippi LLC | Current | Accepting new patients | |
| Premier Medical Group of Mississippi LLC | Past | Accepting new patients | |
| Baptist Medical Center-Leake, Inc | Past | Accepting new patients |
Locations
407 S Valley St
Carthage, MS 39051
Phone (601) 298-0333
300 S Pearl St
#B
Carthage, MS 39051
Phone (601) 298-0333
59 Montague St
Goodman, MS 39079
Phone (662) 739-6040
332 Highway 12 W
Kosciusko, MS 39090
Phone (601) 206-6100
530 Veterans Memorial Dr
Kosciusko, MS 39090
Phone (662) 289-9155
Interoperability endpoints
- randi.watkins.1@27768.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Clinic/Center
- Kosciusko, MS
- NPI 1790827038
-
- Rural Health Clinic/Center
- Walnut Grove, MS
- NPI 1548310782
-
- Clinic/Center
- Jackson, MS
- NPI 1548219884
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carthage, MS
- NPI 1205112539
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- Home Health Agency
- Jackson, MS
- NPI 1730373275
-
- Home Health Agency
- Carthage, MS
- NPI 1275674533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1669635926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23996",
"city": "JACKSON",
"state": "MS",
"postal_code": "392253996",
"telephone_number": "601-206-6100",
"fax_number": "601-206-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 S VALLEY ST",
"city": "CARTHAGE",
"state": "MS",
"postal_code": "390514051",
"telephone_number": "601-298-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "RANDI",
"middle_name": "APRIL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R858535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09809517",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carthage, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.