Jodi L Watson (NPI# 1124494513, PAC ID# 4981995172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124494513 |
| PAC ID by PECOS | 4981995172 |
| Professional Enrollment ID | I20160617001700 |
| Full Name | Jodi L Watson |
| Organization Legal Name | CLEVELAND MEDICAL CLINIC INC |
| Address |
2305 Chambliss Ave Nw 2nd Floor Cleveland TN 37311-3847 |
| Phone Number | 4234764466 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446164404 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440185 | TENNOVA HEALTH CARE-CLEVELAND |
| Address | Phone | Organization |
|---|---|---|
| 2253 Chambliss Ave Nw, Cleveland, TN 37311-3861 | CLEVELAND MEDICAL CLINIC INC | |
| 2305 Chambliss Ave Nw, 2nd Floor, Cleveland, TN 37311-3847 | 4234764466 | CLEVELAND MEDICAL CLINIC INC |
| 4625 N Lee Hwy, Cleveland, TN 37312-4042 | 4236140777 | CLEVELAND MEDICAL CLINIC INC |
| Organization Legal Name | CLEVELAND MEDICAL CLINIC INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Renfroe | Physician Assistant | Cleveland Medical Clinic Inc | 6059 Arbury Way, Suite 101, Ooltewah, TN 37363-5001 |
| Benjamin Scott Coffey | Family Medicine | Cleveland Medical Clinic Inc | 4625 N Lee Hwy, Cleveland, TN 37312-4042 |
| Kamran Farrukh | Internal Medicine | Cleveland Medical Clinic Inc | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 |
| Asma N Khatri | Infectious Disease | Cleveland Medical Clinic Inc | 2305 Chambliss Ave Nw, 2nd Floor, Cleveland, TN 37311-3847 |
| Garrick Wayne Cason | Orthopedic Surgery | Cleveland Medical Clinic Inc | 2305 Chambliss Ave Nw, 2nd Floor, Cleveland, TN 37311-3847 |
| Amy Lindquist | Physician Assistant | Cleveland Medical Clinic Inc | 2305 Chambliss Ave Nw, 2nd Floor, Cleveland, TN 37311-3847 |
| Hady Lichaa | Cardiovascular Disease (cardiology) | Cleveland Medical Clinic Inc | 2305 Chambliss Ave Nw, 2nd Floor, Cleveland, TN 37311-3847 |
| James Osborn | Orthopedic Surgery | Cleveland Medical Clinic Inc | 2305 Chambliss Ave Nw, 2nd Floor, Cleveland, TN 37311-3847 |
| Kathleen A Goyne | Psychiatry | Cleveland Medical Clinic Inc | 2305 Chambliss Ave Nw, 2nd Floor, Cleveland, TN 37311-3847 |
| David Mullins | Nurse Practitioner | Cleveland Medical Clinic Inc | 2305 Chambliss Ave Nw, 2nd Floor, Cleveland, TN 37311-3847 |
| Street Address |
2305 CHAMBLISS AVE NW 2ND FLOOR |
| City | CLEVELAND |
| State | TN |
| Zip | 37311-3847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Rawlinson | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Nirmit Dilipkumar Kothari | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Randall Blair Williams | Physician Assistant | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Azhar S Sheikh | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Stephanie A Adams | Family Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Kristin Herbert | Emergency Medicine | App of Tennessee Ed Pllc | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Asma N Khatri | Infectious Disease | Cleveland Medical Clinic Inc | 2305 Chambliss Ave Nw, 2nd Floor, Cleveland, TN 37311-3847 |
| Stanley C Pitts | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Consultants Exchange, PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Sean A Avakian | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Consultants Exchange, PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Claire D Paris | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth C Hudson | Optometry | Walter F Peterson Od PC | 2020 Keith Nwst, Cleveland, TN 37311-1351 |
| Dennis C Ford | Interventional Pain Management | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
| Gregory Vanfossen | Nurse Practitioner | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
| Sarah Ford | Nurse Practitioner | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
| Blake Allen Peterson | Optometry | Walter F Peterson Od PC | 2020 Keith Nwst, Cleveland, TN 37311-1351 |
| John N Gernert | Podiatry | 105 Keith St, Cleveland, TN 37311-1704 | |
| Leland W Wear | Chiropractic | 755 Broad St Nw, Suite C, Cleveland, TN 37311-2248 | |
| Michael L Hoops | Plastic and Reconstructive Surgery | 597 Church St Ne, Cleveland, TN 37311-2275 | |
| Dean Leroy Bowen | Nurse Practitioner | Volunteer Behavioral Health Care System | 940 S Ocoee St, Cleveland, TN 37311-2601 |
| Troy D Gilson | Psychiatry | Volunteer Behavioral Health Care System | 940 S Ocoee St, Cleveland, TN 37311-2601 |
| Find all physicians in zip 37311 | |||
| City | CLEVELAND |
| Zip Code | 37311 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLEVELAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jodi L Watson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.