Active NPI
Jodi Watson
- Midwife
- Duluth, GA
National Provider Identifier
1942799440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- RN325051
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 235493 | CA | MD | Midwife |
| CNM04734 | CA | MD | Midwife |
| RN325051 | GA | MD | Midwife |
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.