Individual Healthcare Provider
Audrey Mavis Watson, PA-C
Provider's NPPES record last updated: July 10, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1447046644
- Primary Specialty
- Physician Assistant
- Practice Location
- Supply, North Carolina
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 3:52 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (North Carolina)
- 0010-15447
Practice Locations
Practice Location
6 Doctors Cir
Supply, North Carolina 28462-6357
Phone: (540) 958-8048
Additional Practice Location
309 Progress Dr
Burgaw, North Carolina 28425-3280
Phone: (910) 259-0668
Additional Practice Location
301 Mercer Mill Rd
Elizabethtown, North Carolina 28337-3960
Phone: (910) 202-3155
Additional Practice Location
1806 S 15th St
Wilmington, North Carolina 28401-6479
Phone: (910) 772-2515
Additional Practice Location
1886 Nc Hwy S 133
Rocky Point, North Carolina 28457
Phone: (910) 259-0668
Additional Practice Location
4036 Bus 17 E
Bldg 600
Boliva, North Carolina 28422
Phone: (910) 703-8800
Additional Practice Location
1414 Medical Center Dr
Wilmington, North Carolina 28401-7505
Phone: (910) 790-9949
Additional Practice Location
209 Peanut Plant Rd
Elizabethtown, North Carolina 28337
Phone: (910) 202-3155
Record Information
- Enumeration Date
- April 16, 2025
- Provider's NPPES Record Last Updated
- July 10, 2025
- Certification Date
- June 26, 2025
- NPISignal NPPES Dataset
- August 2026
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