MR. TIM WATSON (NPI# 1992802367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992802367 |
| Entity Type | Individual |
| Full Name | MR. TIM WATSON |
| Credential | FNP |
| Practice Address |
1127 Earl Frye Blvd Suite A Amory MS 38821-5516 |
| Mailing Address |
123 Main St N Amory MS 38821-3416 |
| Practice Telephone | 6622572324 |
| Practice Fax Number | 6622572325 |
| Mailing Telephone | 6622567112 |
| Mailing Fax Number | 6622567116 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R858312 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0125157/9013761 | 05 |
| Street Address |
1127 EARL FRYE BLVD SUITE A |
| City | AMORY |
| State | MS |
| Zip Code | 38821-5516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821441080 | Amory Surgery Clinic, Pllc | Surgery | 1127 Earl Frye Blvd, Suite B, Amory, MS 38821-5516 | 2016-07-22 |
| 1952690224 | Kirk Allan Caddell | Surgery | 1127 Earl Frye Blvd, Suite B, Amory, MS 38821-5516 | 2011-04-07 |
| 1972819035 | Amory Hma Physician Mgmt LLC | Urology | 1127 Earl Frye Blvd, Suite B, Amory, MS 38821-5516 | 2010-08-27 |
| 1417110982 | Benjamin T. Boatright | Internal Medicine | 1127 Earl Frye Blvd, Suite A, Amory, MS 38821-5516 | 2008-07-05 |
| 1124242870 | Leading Edge Orthopaedics | Orthopaedic Surgery | 1127 Earl Frye Blvd, Suite B, Amory, MS 38821-5516 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783127 | Elaina Ponder | Nurse Practitioner | 1506 U.S. 278 Suite A, Amory, MS 38821 | 2019-07-29 |
| 1447725221 | Family Care Pharmacy, LLC | Pharmacy | 60379 C Cotton Gin Port Rd, Amory, MS 38821 | 2018-10-09 |
| 1528547171 | Amory Medical Clinic, LLC | Family Medicine | 806 Earl Frye Blvd # B, Amory, MS 38821 | 2018-08-13 |
| 1558735738 | Speech Pathology Solutions, LLC | Speech-Language Pathologist | 1 Camellia Lane, Amory, MS 38821 | 2015-11-25 |
| 1851600811 | Tiffany W. Dean | Pharmacist | 905 Hwy 278 East, Amory, MS 38821 | 2010-09-24 |
| 1023349248 | Premier Respiratory Services LLC | Respiratory Therapist, Registered | 404 Gilmore Drive, Amory, MS 38821 | 2010-01-28 |
| 1245414820 | Mississippi Em-i Medical Services, PC | Emergency Medicine | 1105 Earl Frye Blvd., Amory, MS 38821 | 2007-12-19 |
| 1801088208 | West Amory Elementary School | Nursing Care | 704 111th St, Amory, MS 38821 | 2007-08-10 |
| 1720279482 | Amory Middle School | Nursing Care | 700 2nd Ave. N., Amory, MS 38821 | 2007-08-07 |
| 1215041652 | Robert A Dale Jr. | Specialist | 1105 Earl Frye Boulevard, Gilmore Memorial Hospital, Amory, MS 38821 | 2006-08-19 |
| Find all providers in zip 38821 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783127 | Elaina Ponder | Nurse Practitioner | 1506 U.S. 278 Suite A, Amory, MS 38821 | 2019-07-29 |
| 1568797223 | Trinity Health Care, LLC | Nurse Practitioner | 200 Main St S, Amory, MS 38821-4218 | 2009-10-13 |
| 1376564799 | Bret Ballard | Nurse Practitioner | 906 Highway 278 E, Amory, MS 38821-5511 | 2006-07-21 |
| 1215545967 | Ashley Spann | Nurse Practitioner | 906 Highway 278 E, Amory, MS 38821-5511 | 2020-07-20 |
| 1942694260 | Felicia Daniel | Nurse Practitioner | 900 Earl Frye Blvd Ste A, Amory, MS 38821-5507 | 2015-03-25 |
| 1003161373 | Amy Bailey | Nurse Practitioner | 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 | 2012-07-23 |
| 1902116064 | Shellie J Moffett | Nurse Practitioner | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2010-10-07 |
| 1154351864 | Rita Ann Hargett | Nurse Practitioner | 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.