Individual provider Active NPI

Amy Pote Watson, MD

  • Dermatology Physician
  • Pensacola, FL
National Provider Identifier
1891735858
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME89922 Issued in FL
Practice address
4850 Grande Dr
Pensacola, FL 32504-5940
Phone
(850) 477-4447
Fax
(850) 477-2225
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME89922 FL Primary

Addresses

Primary practice location

4850 Grande Dr
Pensacola, FL 32504-5940

Mailing address

4850 Grande Dr
Pensacola, FL 32504-5940
Phone (850) 477-4447

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040916000313 FL Practitioner - DermatologyPractitioner - Internal Medicine 5395712129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Northwest Florida PAGroup PAC ID 0042287872, 4 clinicians

Practice addresses (Care Compare)

4850 Grande Dr
Pensacola, FL 32504-5940
Phone (850) 477-4447

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
79.54
Promoting interoperability
100
Improvement activities
40
Cost
71.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision195
Removal of skin lesions1237
Removal or shaving of skin growth21
Skin biopsy178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME89922FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Northwest Florida PA Dermatology CurrentSince Mar 2, 2004 Accepting new patients

Locations

4850 Grande Dr
Pensacola, FL 32504
Phone (850) 477-1110

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5baf204a-7e7e-47b6-b4db-d848c55eb2f5/
  • Direct secure messaging: amy.watson.1@24790.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1891735858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045940",
            "telephone_number": "850-477-4447",
            "fax_number": "850-477-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045940",
            "telephone_number": "850-477-4447",
            "fax_number": "850-477-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "AMY",
        "middle_name": "POTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME89922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.