Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jefferson Tyler Watson, MD

Individual provider Surgery Physician · NPI 1447511290

Dr. Jefferson Tyler Watson, MD is a General Surgery in Mt Juliet, Tennessee. Graduated from Medical University of South Carolina College of Medicine in 2012, 14 years ago. Practices with East Cooper Physician Group LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Louisiana and Tennessee.

Years since qualifying
14
Trained at
Medical University of South Carolina College of Medicine
Licensed in
LA, TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

660 S Mount Juliet Rd Ste 230
Mt Juliet, TN 37122-6496
Phone: (615) 874-9667
Fax: (615) 871-9682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 63139 (TN)
Surgery Physician Taxonomy 208600000X · Licence 304165 (LA)

Record details

NPI number1447511290
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 7, 2012
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice East Cooper Physician Group Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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