Individual provider Active NPI

Ronald Gilbert Watson Jr., APRN/CRNA

  • Certified Registered Nurse Anesthetist
  • Blountstown, FL
National Provider Identifier
1780062604
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9359305 Issued in FL
Practice address
20274 Central Ave W
Blountstown, FL 32424-1957
Phone
(850) 353-7689
Fax
(850) 674-8889
NPI assigned
May 12, 2015
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9359305 FL Primary
Emergency Medicine Physician 207P00000X APRN9359305 FL
Family Medicine Physician 207Q00000X APRN9359305 FL

Addresses

Primary practice location

20274 Central Ave W
Blountstown, FL 32424-1957

Mailing address

20274 Central Ave W
Blountstown, FL 32424-1957
Phone (850) 353-7689

Other practice location 1

160 Concert Ct
Freeport, FL 32439-2470
Phone (850) 218-8189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in 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

Enrollment IDStateProvider typePAC IDDetails
I20170320002612 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294729075 Reassigns benefits to 1 organization
I20190826000312 FL Practitioner - Nurse Practitioner 5294729075 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
Panhandle Rural Health and Primary Care IncGroup PAC ID 6002238516, 2 clinicians
Holmes County Hospital CorpGroup PAC ID 3375557887, 21 clinicians

Practice addresses (Care Compare)

1500 SE 1St Ave
Ocala, FL 34471-6504
Phone (352) 351-7200

20274 Central Ave W
Blountstown, FL 32424-1957
Phone (850) 272-9717

2600 Hospital Dr
Bonifay, FL 32425-4264
Phone (850) 547-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9359305FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 23, 2019 Accepting new patients
The Pathology Group of Northwest Florida PLLC Current Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Holmes County Hospital Corp Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jun 23, 2019 Accepting new patients
Panhandle Rural Health & Primary Care Inc Family Medicine CurrentSince May 1, 2020 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Vivid Pathology PA Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Freeport Medical Associates Current Accepting new patients
Holmes County Hospital Corp CurrentSince Mar 31, 2022 Accepting new patients
Madison County Hospital Health Systems, Inc. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

20274 Central Ave W
Blountstown, FL 32424
Phone (850) 674-8888

2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

1600 SE 17th St
Ocala, FL 34471
Phone (615) 240-3720

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

4600 SW 46th Ct
Ste 150
Ocala, FL 34474
Phone (352) 369-5999

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21096/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ronald.watson.1@21096.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Panhandle Rural Health & Primary Care IncBlountstown, FL, CCN 683837 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee
Jun 1, 2020
Jun 1, 2020
Jun 1, 2020
Jun 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 2

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1780062604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20274 CENTRAL AVE W",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241957",
            "telephone_number": "850-353-7689",
            "fax_number": "850-674-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20274 CENTRAL AVE W",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241957",
            "telephone_number": "850-353-7689",
            "fax_number": "850-674-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Concert Ct",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "FL",
            "postal_code": "324392470",
            "country_code": "US",
            "telephone_number": "850-218-8189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "RONALD",
        "middle_name": "GILBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN/CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9359305",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "APRN9359305",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN9359305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountstown, FL

Sources for this page

Verify at the official NPI Registry.