Individual provider Active NPI

Jacqueline Katrina Watson, MD

  • Family Medicine Physician
  • Gastonia, NC
National Provider Identifier
1922538503
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020-03659 Issued in NC
Practice address
924 Cox Rd
Gastonia, NC 28054-3456
Phone
(704) 495-6334
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2020-03659 NC Primary
Family Medicine Physician 207Q00000X 228149 NC

Addresses

Primary practice location

924 Cox Rd
Gastonia, NC 28054-3456

Mailing address

5960 Fairview Rd Ste 500
Charlotte, NC 28210-3113
Phone (704) 495-6334

Other practice location 1

9955 Poplar Tent Rd
Concord, NC 28027-9314
Phone (704) 316-1161

Other practice location 2

9615 Kincey Ave Ste 210
Huntersville, NC 28078-9140
Phone (704) 495-6334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200929002590 NC Practitioner - Family Practice 8426329863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tryon Medical Partners, PLLCGroup PAC ID 7113277971, 139 clinicians

Practice addresses (Care Compare)

924 Cox Rd
Gastonia, NC 28054-3456
Phone (704) 495-6334

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-03659NCMDFamily Medicine Physician
228149NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tryon Medical Partners, PLLC Family Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

5960 Fairview Rd
Ste 500
Charlotte, NC 28210

924 Cox Rd
Gastonia, NC 28054
Phone (704) 800-4268

Interoperability endpoints

  • Direct secure messaging: jwatson833410@direct.novanthealth.org
  • Direct secure messaging: jwatson2902421@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jacqueline.watson.1@17847.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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1922538503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103113",
            "telephone_number": "704-495-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543456",
            "telephone_number": "704-495-6334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9955 Poplar Tent Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280279314",
            "country_code": "US",
            "telephone_number": "704-316-1161",
            "fax_number": "704-316-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9615 Kincey Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280789140",
            "country_code": "US",
            "telephone_number": "704-495-6334",
            "fax_number": "844-620-0928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JACQUELINE",
        "middle_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2020-03659",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "228149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.