Individual provider Active NPI

Stephanie N Watson, FNP

  • Family Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1669924379
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901820 Issued in MS
Practice address
1208 Office Park Dr
Oxford, MS 38655-3597
Phone
(662) 234-9888
Fax
(662) 281-8927
NPI assigned
Oct 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 901820 MS Primary
Family Nurse Practitioner 363LF0000X 886842 MS

Addresses

Primary practice location

1208 Office Park Dr
Oxford, MS 38655-3597

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

12 Brookes Xing
Pontotoc, MS 38863-1009
Phone (662) 489-4044

Other practice location 2

200 State Highway 30 W
New Albany, MS 38652-3112
Phone (662) 234-9888

Other practice location 3

1210 Office Park Dr
Oxford, MS 38655-3606
Phone (662) 234-9888

Other practice location 4

825 W Monroe St Ste 2
Grenada, MS 38901-5042
Phone (662) 234-9888

Other identifiers 1

IdentifierTypeStateIssuer
003606788MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180503000282 MS Practitioner - Nurse Practitioner 8325302151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmed LLCGroup PAC ID 2961633656, 54 clinicians
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

12 Brookes Xing
Pontotoc, MS 38863-1009
Phone (662) 489-4044

589 Garfield St
Suite 201
Tupelo, MS 38801-6301
Phone (662) 680-5565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
886842MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redmed, LLC CurrentSince Jul 1, 2020 Accepting new patients
Redmed, LLC CurrentSince Jul 1, 2020 Accepting new patients
Gastroenterology Center of the Midsouth PLLC CurrentSince Feb 23, 2026 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jul 31, 2025 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jul 31, 2025 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients

Locations

171 Lakewood Dr
Batesville, MS 38606
Phone (662) 234-6464

1002 N 2nd St
Booneville, MS 38829
Phone (662) 340-4375

2601 Getwell Rd
Ste 1
Corinth, MS 38834
Phone (662) 287-7138

825 W Monroe St
Ste 2
Grenada, MS 38901
Phone (662) 234-9888

1250 E Commerce St
Hernando, MS 38632
Phone (662) 298-2238

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

188 Starlyn Ave
New Albany, MS 38652
Phone (662) 486-2700

6674 Goodman Rd
Olive Branch, MS 38654
Phone (662) 985-7806

1902B Jackson Ave W
Oxford, MS 38655
Phone (662) 234-6464

1208 Office Park Dr
Oxford, MS 38655
Phone (662) 234-9888

1210 Office Park Dr
Oxford, MS 38655
Phone (662) 234-9888

12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044

105A Quality Ln
Ste A
Senatobia, MS 38668

105A Quality Ln
Senatobia, MS 38668
Phone (662) 298-2144

7668 Airways Blvd
Bldg 2
Southaven, MS 38671
Phone (901) 766-9490

589 Garfield St
Ste 201
Tupelo, MS 38801
Phone (662) 680-5565

Organizations & group practices 6

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 1

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": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1669924379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468",
            "fax_number": "901-328-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 OFFICE PARK DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553597",
            "telephone_number": "662-234-9888",
            "fax_number": "662-281-8927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Brookes Xing",
            "address_purpose": "LOCATION",
            "city": "Pontotoc",
            "state": "MS",
            "postal_code": "388631009",
            "country_code": "US",
            "telephone_number": "662-489-4044",
            "fax_number": "662-489-4041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 State Highway 30 W",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523112",
            "country_code": "US",
            "telephone_number": "662-234-9888",
            "fax_number": "662-281-8927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386553606",
            "country_code": "US",
            "telephone_number": "662-234-9888",
            "fax_number": "662-281-8927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 W Monroe St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Grenada",
            "state": "MS",
            "postal_code": "389015042",
            "country_code": "US",
            "telephone_number": "662-234-9888",
            "fax_number": "662-294-9981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "STEPHANIE",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901820",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "886842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003606788",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.