Active NPI
Jacqueline Katrina Watson, MD
- Family Medicine Physician
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2020-03659
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-03659 | NC | MD | Family Medicine Physician |
| 228149 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tryon Medical Partners, PLLC | Family Medicine | Current | Accepting new patients |
Locations
5960 Fairview Rd
Ste 500
Charlotte, NC 28210
924 Cox Rd
Gastonia, NC 28054
Phone (704) 800-4268
Interoperability endpoints
- jwatson833410@direct.novanthealth.org
- jwatson2902421@carolinashealthcaresystem.direct-ci.com
- 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.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1992204549
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CaroMont Regional Medical Center
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.