Timothy B Watson (NPI# 1992802367, PAC ID# 5193993806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992802367 |
| PAC ID by PECOS | 5193993806 |
| Professional Enrollment ID | I20110725000584 |
| Full Name | Timothy B Watson |
| Organization Legal Name | NORTH MISSISSIPPI GILMORE CLINICS LLC |
| Address |
1107 Earl Frye Blvd Suite 6 Amory Specialty Clinic Amory MS 38821-5519 |
| Phone Number | 6622569327 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961745195 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250025 | GILMORE MEMORIAL HOSPITAL |
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| 251308 | PONTOTOC HEALTH SERVICE INC CAH |
| Address | Phone | Organization |
|---|---|---|
| 1107 Earl Frye Blvd, Suite 6 Amory Specialty Clinic, Amory, MS 38821-5519 | 6622569327 | NORTH MISSISSIPPI GILMORE CLINICS LLC |
| Organization Legal Name | NORTH MISSISSIPPI GILMORE CLINICS LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Harris | Nurse Practitioner | North Mississippi Gilmore Clinics LLC | 40023 Cross Creek Dr, Hamilton, MS 39746-8801 |
| Michael Joseph Boland | Cardiovascular Disease (cardiology) | North Mississippi Gilmore Clinics LLC | 404 Gilmore Dr, Amory, MS 38821-5414 |
| William Mc Comb | Internal Medicine | North Mississippi Gilmore Clinics LLC | 1107 Earl Frye Blvd, Suite 6 Amory Specialty Clinic, Amory, MS 38821-5519 |
| Teresa Stanford | Nurse Practitioner | North Mississippi Gilmore Clinics LLC | 404 Gilmore Dr, Amory, MS 38821-5414 |
| Benjamin Thomas Boatright | Gastroenterology | North Mississippi Gilmore Clinics LLC | 1107 Earl Frye Blvd, Suite 5 Amory Children's Clinic, Amory, MS 38821-5519 |
| Sharla E Saylors | Nurse Practitioner | North Mississippi Gilmore Clinics LLC | 404 Gilmore Dr, Amory, MS 38821-5414 |
| James W Lewis | Pathology | North Mississippi Gilmore Clinics LLC | 1105 Earl Frye Blvd, Amory Pathology, Amory, MS 38821-5500 |
| Brenda Elain Worthey | Nurse Practitioner | North Mississippi Gilmore Clinics LLC | 1107 Earl Frye Blvd, Suite 5 Amory Children's Clinic, Amory, MS 38821-5519 |
| Street Address |
1107 EARL FRYE BLVD SUITE 6 AMORY SPECIALTY CLINIC |
| City | AMORY |
| State | MS |
| Zip | 38821-5519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Mc Comb | Internal Medicine | North Mississippi Gilmore Clinics LLC | 1107 Earl Frye Blvd, Suite 6 Amory Specialty Clinic, Amory, MS 38821-5519 |
| Vern M Christensen | Podiatry | Vern M Christensen Dpm | 1107 Earl Frye Blvd, 1 Foot Specialist of Mississppi, Amory, MS 38821-5519 |
| Benjamin Thomas Boatright | Gastroenterology | North Mississippi Gilmore Clinics LLC | 1107 Earl Frye Blvd, Suite 5 Amory Children's Clinic, Amory, MS 38821-5519 |
| Brenda Elain Worthey | Nurse Practitioner | North Mississippi Gilmore Clinics LLC | 1107 Earl Frye Blvd, Suite 5 Amory Children's Clinic, Amory, MS 38821-5519 |
| Jeffery John Vanyperen Jr. | Podiatry | Vern M Christensen Dpm | 1107 Earl Frye Blvd, 1 Foot Specialist of Mississppi, Amory, MS 38821-5519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail Miller | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 E Fry Blvd, Amory, MS 38821-3227 |
| James A Mcdaniel | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 E Fry Blvd, Amory, MS 38821-3227 |
| Juli K Johnson | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 Earl Frye Blvd, Gilmore Regional Medical Center, Amory, MS 38821-3227 |
| Tara Wadkins | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 E Fry Blvd, Amory, MS 38821-3227 |
| Sarah E Hodge | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 E Fry Blvd, Amory, MS 38821-3227 |
| Cheryl Burcham | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 Earl Frye Blvd, Gilmore Regional Medical Center, Amory, MS 38821-3227 |
| Angela Serio | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 Earl Frye Blvd, Gilmore Regional Medical Center, Amory, MS 38821-3227 |
| Lewis Richard French | Chiropractic | 200 3rd St N, Amory, MS 38821-3423 | |
| Steve Randle | Optometry | 307 Main S St, Amory, MS 38821-4219 | |
| Michael Joseph Boland | Cardiovascular Disease (cardiology) | North Mississippi Gilmore Clinics LLC | 404 Gilmore Dr, Amory, MS 38821-5414 |
| Find all physicians in zip 38821 | |||
| City | AMORY |
| Zip Code | 38821 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | AMORY + NURSE PRACTITIONER |
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| 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.