Individual provider Active NPI

Nancy Watson, PA-C/LCSW

  • Medical Physician Assistant
  • Panama City Beach, FL
National Provider Identifier
1811921372
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 9106151 Issued in FL
Practice address
203 N Arnold Rd Ste D
Panama City Beach, FL 32413-2225
Phone
(850) 819-1850
Fax
(850) 665-2889
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 9106151 FL Primary
Clinical Social Worker 1041C0700X SW 6735 FL

Addresses

Primary practice location

203 N Arnold Rd Ste D
Panama City Beach, FL 32413-2225

Mailing address

9232 Paradise Dr
Panama City Beach, FL 32413-9625
Phone (850) 320-8254

Other identifiers 1

IdentifierTypeStateIssuer
766137100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120202000581 FL Practitioner - Physician Assistant 5395902308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
SW 6735FLMDClinical Social Worker
PA 9106151FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Confidant Texas PA Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1811921372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9232 PARADISE DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324139625",
            "telephone_number": "850-320-8254",
            "fax_number": "850-665-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N ARNOLD RD STE D",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132225",
            "telephone_number": "850-819-1850",
            "fax_number": "850-665-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "NANCY",
        "credential": "PA-C/LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9106151",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 6735",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766137100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.