Individual provider Active NPI

Jodi Watson

  • Midwife
  • Duluth, GA
National Provider Identifier
1942799440
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
RN325051 Issued in GA
Practice address
3650 Steve Reynolds Blvd
Duluth, GA 30096-4506
Phone
(770) 931-6012
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X RN325051 GA Primary
Midwife 176B00000X CNM04734 CA
Women's Health Nurse Practitioner 363LW0102X 95008877 CA
Midwife 176B00000X 235493 CA

Addresses

Primary practice location

3650 Steve Reynolds Blvd
Duluth, GA 30096-4506

Mailing address

3455 Peachtree Rd NE
Atlanta, GA 30326-3254

Other practice location 1

30 Broad St
New York, NY 10004-2304
Phone (914) 929-9200

Other practice location 2

4625 Lindell Blvd Fl 2
Saint Louis, MO 63108-3739
Phone (914) 919-9200

Other practice location 3

133 W Santa Clara St
Ventura, CA 93001-2543
Phone (805) 641-5600

Other practice location 4

3455 Peachtree Rd NE
Atlanta, GA 30326-3254
Phone (914) 919-9200

Other practice location 5

34800 Bob Wilson Drive
San Diego, CA 92134-5000
Phone (619) 532-7284

Other practice location 6

1400 Broadfield Blvd
Houston, TX 77084-5163
Phone (914) 919-9200

Other practice location 7

2400 S C St
Oxnard, CA 93033-4555
Phone (805) 240-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
235493CAMDMidwife
CNM04734CAMDMidwife
RN325051GAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1942799440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 PEACHTREE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263254",
            "fax_number": "914-919-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 STEVE REYNOLDS BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964506",
            "telephone_number": "770-931-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Broad St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100042304",
            "country_code": "US",
            "telephone_number": "914-929-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4625 Lindell Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083739",
            "country_code": "US",
            "telephone_number": "914-919-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 W Santa Clara St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930012543",
            "country_code": "US",
            "telephone_number": "805-641-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 Peachtree Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303263254",
            "country_code": "US",
            "telephone_number": "914-919-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34800 Bob Wilson Drive",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921345000",
            "country_code": "US",
            "telephone_number": "619-532-7284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Broadfield Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770845163",
            "country_code": "US",
            "telephone_number": "914-919-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S C St",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930334555",
            "country_code": "US",
            "telephone_number": "805-240-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JODI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN325051",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "CNM04734",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95008877",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "235493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.