Ann Katherine Watson, PAC
Individual provider Active NPI Physician Assistant · Sparta, NC
NPI 1831161702 · NPPES record last updated Apr 30, 2008
Key facts
- NPI
- 1831161702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 100897 (NC)
- Practice address
- 214 Doctors St
Sparta, NC 28675-9247 - Phone
- (336) 372-5606
- Fax
- (336) 372-6211
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100897 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alleghany Family Practice, PA | Current |
Accepting new patients |
Locations
214 Doctors St
Sparta, NC 28675
Phone (336) 372-5606
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 100897 | NC | Yes |
Addresses
Primary practice location
214 Doctors St
Sparta, NC 28675-9247
Mailing address
214 Doctors St
Sparta, NC 28675
Phone (336) 372-5606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00103094 | Other | NC | RAILROAD MEDICARE |
| P00106094 | Other | UNITED HEALTHCARE |
Other providers in Sparta, NC
- Angela Hash Wagoner
- Walgreen Co
- Sandra Lynne Walker
- Savannah Ward
- Matthew John Warren
- Webcounselors
- William B. Arnold, DMD, PLLC
- Nichola Michelle Williams
- Thelma Susan Winkler
- Gwendolyn Davis Woodmanse
All providers in Sparta, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.