JEROME WATSON LLC
NPI 1477793479
Nurse Practitioner in Texarkana, TX
About Jerome Watson Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEROME WATSON LLC (NPI 1477793479) is a healthcare organization registered as a nurse practitioner in Texarkana, Texas and active in the NPI registry since March 2009. The organization lists Jerome Watson, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerome Watson Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerome Watson LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jerome Watson LLC's NPI number?
The NPI number for Jerome Watson LLC is 1477793479. It was assigned to this organization in the NPPES registry on March 3, 2009.
Where is Jerome Watson LLC located?
Jerome Watson LLC is located at 7209 Goldfinch Rd, Texarkana, TX 75501. The listed phone number is (903) 334-8132.
What is Jerome Watson LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jerome Watson LLC enrolled in Medicare?
Yes. Jerome Watson LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jerome Watson LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jerome Watson LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jerome Watson LLC was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jerome Watson Llc · NPI 1477793479
Nurse Practitioner organization in Texarkana, Texas. Organization record, active in the CMS NPPES registry since March 3, 2009.
## Identity
- **NPI:** 1477793479 (Entity type: Organization)
- **Enumerated:** March 3, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Jerome Watson, SOLE MEMBER
## Practice location
- **Address:** 7209 GOLDFINCH RD, Texarkana, TX 75501-0227
- **Phone:** (903) 334-8132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1477793479) · Data from the CMS NPPES public registry.