LADARYL LORRAINE WATKINS NP
NPI 1760949390
Nurse Practitioner - Family in Jackson, MS

Q: What is Ladaryl Watkins's NPI number?

The NPI number for Ladaryl Watkins is 1760949390. It was assigned to this individual provider in the NPPES registry on March 1, 2019.

Q: What is Ladaryl Watkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ladaryl Watkins was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 01, 2019PECOS EnrolledAccepts Medicare Assignment

2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2021, Oct 18, 2020, Mar 1, 2019 (3 updates tracked since 2019).

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About Ladaryl Lorraine Watkins Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LADARYL LORRAINE WATKINS NP (NPI 1760949390) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (904191) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760949390

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLADARYL LORRAINE WATKINSCredential: NP

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-1000

Phone(601) 984-1000

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2018

Enumeration DateMarch 1, 2019

Last NPPES UpdateNovember 17, 20213 updates tracked since enumeration

NPPES CertifiedNovember 17, 2021

✔ NPI 1760949390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 904191

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 908692 (MS)

2500 N STATE ST, Jackson, MS 39216

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11100 Highway 16 ECarthage, MS 39051-4222 · Phone (601) 267-1470 · Fax (601) 267-1469

Location 21935 Medical District DrDallas, TX 75235-7701 · Phone (214) 456-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ladaryl Lorraine Watkins Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971911454

PECOS Enrollment IDI20210422000171

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250102

Location1225 N State StJackson, MS 39202 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)