P Praxis·MD
● Active Type 1 · Individual

MS. Vivian E Watson, FNP-C

Nurse Practitioner·Tifton, GA· NPI 1245565340 · Enumerated 2009 · 16 years on NPI
Watson is 1 of 29 nurse practitioner providers in Tifton and 1 of 3206 in Georgia.
NPI age
16 years
Enumerated 2009-10-07
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-05-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
16 years
↑ 8 yr above median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-10Enumerated in NPPES
2009 2026

Where they practice

Practice location
612 Love Ave
Tifton, GA 31794
📞 2293913300fax 2293881948
Mailing address
612 Love Ave
Tifton, GA 31794
📞 2293913300fax 2293881948

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN050405NP taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    GA license #RN050405 NP taxonomy 363LF0000X

Identifiers

TypeValueNotes
05 (GA) 003124296A

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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