Timothy B Watson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R858312 Issued in MS

Practice address

1127 Earl Frye Blvd
Suite a
Amory, MS 38821-5516

Phone

(662) 257-2324

Fax

(662) 257-2325

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monroe Health Services IncGroup PAC ID 8224376561, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tim_watson_fnp@yourcarecommunity.org

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.

• Monroe Health Services, Inc.

  • Cardiovascular Disease Physician
  • Amory, MS
  • NPI 1225605942
  Medicare reassignment Care Compare group NPD
• North Mississippi Gilmore Clinics, LLC

  • Internal Medicine Physician
  • Amory, MS
  • NPI 1225502370
  Medicare reassignment NPD
• Monroe Health Services, Inc.

  • Surgery Physician
  • Amory, MS
  • NPI 1386433860
  NPD
• North Mississippi Gilmore Clinics, LLC

  • Family Medicine Physician
  • Amory, MS
  • NPI 1154885465
  NPD
• North Mississippi Gilmore Clinics, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Amory, MS
  • NPI 1588128896
  NPD
• Marion Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hamilton, AL
  • NPI 1932160082
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monroe Health Services, Inc.

  • General Acute Care Hospital
  • Amory, MS
  • NPI 1164993457
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1992802367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MAIN ST N",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388213416",
            "telephone_number": "662-256-7112",
            "fax_number": "662-256-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 EARL FRYE BLVD",
            "address_2": "SUITE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215516",
            "telephone_number": "662-257-2324",
            "fax_number": "662-257-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TIMOTHY",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R858312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125157/9013761",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co.
• Rebecca Cagle Wanee, C-IAYT, MS
• Merrill Frances Warnat, FNP-BC
• Laura Washington, MD
• Jessica Taylor Watkins
• Jennifer Grant Watts, PT/DPT
• Morgan Weaver, FNP-BC
• West Amory Elementary School
• Chelsea Williams
• Claire Wiygul, M.S., CCC-SLP

• Family Nurse Practitioner in Amory, MS
• Providers in Amory, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.

Verify at the official NPI Registry.