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

Jerry E Watson, MD

Individual provider Interventional Cardiology Physician · NPI 1174519896

Jerry E Watson, MD is a Cardiovascular Disease (Cardiology) in Myrtle Beach, South Carolina. Graduated from University of Texas Medical School at Houston in 1989, 37 years ago. Practices with Grand Strand Surgical Specialists LLC, a 57-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
37
Trained at
University of Texas Medical School at Houston
Licensed in
SC
In the registry since
2005
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

920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4120
Phone: (843) 497-7772
Fax: (843) 848-7530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 14980 (SC)

Record details

NPI number1174519896
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 27, 2005
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 1989 (37 years in practice)
Group practice Grand Strand Surgical Specialists Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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