Julia McDuffie Watson, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Saint George, SC
NPI 1962959031 · NPPES record last updated Jul 27, 2022
Key facts
- NPI
- 1962959031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 20435 (SC)
- Practice address
- 401 Ridge St
Saint George, SC 29477-2451 - Phone
- (843) 636-9130
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Centers, Inc.
Practice addresses (Care Compare)
3310 Magnolia St
Orangeburg, SC 29115-1466
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170103000205 | SC | Practitioner - Nurse Practitioner | 3072894203 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20435 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers, Inc | Current |
Accepting new patients | |
| Family Health Centers, Inc | Current |
Accepting new patients |
Locations
3310 Magnolia St
Orangeburg, SC 29115
Phone (803) 531-6900
401 Ridge St
Saint George, SC 29477
Phone (843) 563-5315
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFEFCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20435 | SC | Yes |
Addresses
Primary practice location
401 Ridge St
Saint George, SC 29477-2451
Mailing address
401 Ridge St
Saint George, SC 29477-2451
Phone (843) 636-9130
Other providers in Saint George, SC
- Jessie Suggs
- Jessica Tabb
- Touching Angels Home Health Agency
- Upbuild Health, LLC
- Eric James Watson
- Westbury Pharmacy Inc
- Gary Shane Zaccagnini
All providers in Saint George, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.