JESSICA WATSON (NPI# 1316462666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316462666 |
| Entity Type | Individual |
| Full Name | JESSICA WATSON |
| Practice Address |
106 Mccrary Ave Roberta GA 31078-4916 |
| Mailing Address |
Po Box 1010 Roberta GA 31078-1010 |
| Practice Telephone | 4788362819 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN175509 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1114491214 | Jessica Crook Watson | Nurse Practitioner | 4760 Eastern Valley Rd Ste 102, Mc Calla, AL 35111-3457 | 2019-01-11 |
| 1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
| 1437440435 | Jessica S Watson | Ophthalmology | 15 Lowell Street, Portland, ME 04102-2726 | 2011-04-25 |
| 1932437662 | Jessica Leigh Watson | Physician Assistant | 2114 Highway 41 Ste 105, Mount Pleasant, SC 29466 | 2009-11-18 |
| 1316583966 | Jessica A Watson | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2019-11-19 |
| 1316444250 | Jessica Watson | Student in an Organized Health Care Education/Training Program | 2425 Geary Blvd, San Francisco, CA 94115-3358 | 2018-04-08 |
| 1124546239 | Jessica Danielle Watson | Behavioral Analyst | 1704 Westland Rd, Cheyenne, WY 82001 | 2017-09-08 |
| 1861922825 | Jessica Nicole Watson | Counselor | 1305 W Jefferson St, Waxahachie, TX 75165-2269 | 2017-06-13 |
| 1528590270 | Jessica Watson | Nurse Practitioner | 1806 W Pleasant Ridge Rd, Arlington, TX 76015-4530 | 2017-03-31 |
| Street Address |
106 MCCRARY AVE |
| City | ROBERTA |
| State | GA |
| Zip Code | 31078-4916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003896416 | Freddy Gaton | Family Medicine | 106 Mccrary Ave, Roberta, GA 31078-4916 | 2006-01-20 |
| 1639505472 | Alicia Ray Bryant | Registered Nurse | 106 Mccrary Ave, Roberta, GA 31078-4916 | 2013-09-25 |
| 1356505051 | Freddy N. Gaton | Family Medicine | 106 Mccrary Ave, Roberta, GA 31078 | 2008-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1053870451 | Lifepoint Ambulance LLC | Ambulance | 1011 Hwy 341 North, Suite 20 A, Roberta, GA 31078 | 2019-03-15 |
| 1114195914 | Phoenix Center Community Service Board | Community/Behavioral Health | 80 Wright Ave, Roberta, GA 31078 | 2008-02-14 |
| 1669517595 | Roberta Drug Co Inc | Pharmacy | 4 Wright Ave, Roberta, GA 31078 | 2007-02-20 |
| 1083776520 | Brentwood Nursing LLC | Skilled Nursing Facility | 280 Myrtle Drive, Roberta, GA 31078 | 2006-12-14 |
| 1679583686 | Crawford County Health Department | Public Health or Welfare | 301 Mccrary St, Roberta, GA 31078 | 2006-08-09 |
| 1487746293 | Orlando Garcia Balcos | General Practice | 170 Wright Avenue, Roberta, GA 31078-0128 | 2006-09-29 |
| 1992932768 | Crawford County Board of Education | Local Education Agency (LEA) | 190 E Crusselle St, Roberta, GA 31078-4865 | 2009-06-18 |
| 1619329307 | Kenneth Hortman | Denturist | 143 E Crusselle St, Roberta, GA 31078-4866 | 2016-07-06 |
| 1760041107 | Lauren Ashley Sutton | Nurse Practitioner | 141 Mccrary Ave, Roberta, GA 31078-4915 | 2019-06-10 |
| Find all providers in zip 31078 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760041107 | Lauren Ashley Sutton | Nurse Practitioner | 141 Mccrary Ave, Roberta, GA 31078-4915 | 2019-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| 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.