Organization Active NPI

Watson Family Clinic

  • Family Nurse Practitioner
  • Hamilton, AL
National Provider Identifier
1871488072
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WATSON FAMILY CLINIC
Practice address
206 Bexar Ave E Ste 2
Hamilton, AL 35570-4013
Phone
(205) 921-1550
NPI assigned
Jun 10, 2025
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Cody Watson
Title
Cfo
Phone
(205) 412-5402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

206 Bexar Ave E Ste 2
Hamilton, AL 35570-4013

Mailing address

PO Box 173
Hamilton, AL 35570-0173
Phone (205) 921-1550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250729000095 AL Part B Supplier - Clinic/Group Practice 1951818699 Receives reassigned benefits from 3 practitioners
Practice locations: Hamilton, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2326548Watson Family Clinic, Inc206 Bexar Ave E, Hamilton, AL 35570Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory

Locations

206 Bexar Ave E
Hamilton, AL 35570
Phone (205) 921-1550

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1871488072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355700173",
            "telephone_number": "205-921-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BEXAR AVE E STE 2",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355704013",
            "telephone_number": "205-921-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-412-5402"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.