Individual provider Active NPI

Jamonica Montrese Watson, CRNP

  • Primary Care Nurse Practitioner
  • Vestavia Hills, AL
National Provider Identifier
1821619164
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-147148 Issued in AL
Practice address
1480 McGuire Rd
Vestavia Hills, AL 35216-3634
Phone
(205) 979-0302
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-147148 AL Primary

Addresses

Primary practice location

1480 McGuire Rd
Vestavia Hills, AL 35216-3634

Mailing address

7833 White Oak Cir
Pinson, AL 35126-2698
Phone (205) 567-1167

Other practice location 1

1509 6TH Ave S
Birmingham, AL 35233-1601
Phone (205) 930-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20201109002157 AL Practitioner - Nurse Practitioner 1052721743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

820 Golf Course Rd
Bessemer, AL 35022-6024
Phone (731) 394-1145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-147148ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. Current Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Nov 9, 2022 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Nov 9, 2022 Accepting new patients

Locations

1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

1304 13th Ave SE
Ste A
Decatur, AL 35601
Phone (256) 340-1251

16410 Highway 72
#U
Rogersville, AL 35652
Phone (256) 247-3154

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1821619164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7833 WHITE OAK CIR",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351262698",
            "telephone_number": "205-567-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 MCGUIRE RD",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163634",
            "telephone_number": "205-979-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 6TH AVE S",
            "address_purpose": "LOCATION",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331601",
            "country_code": "US",
            "telephone_number": "205-930-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JAMONICA",
        "middle_name": "MONTRESE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-147148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.