Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly A Watson, MMS, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376163592

Holly A Watson, MMS, PA-C is a Physician Assistant in Columbus, Ohio. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois and Indiana.

Years since qualifying
6
Licensed in
IL, IN
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2 Miranova Pl Ste 500
Columbus, OH 43215-7052
Phone: (614) 321-9743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17840 Cumberland Rd, Noblesville, IN 46060-5409 — (317) 574-1254

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003219A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X · Licence 10003219A (IL)

Record details

NPI number1376163592
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorYes
NPI enumeratedApril 17, 2020
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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