NPIMap

Organization Active NPI

Simmons Medical Group South Inc

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1003381799
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SIMMONS MEDICAL GROUP SOUTH INC
Practice address
301 Harbour Place Dr Unit 2007
Tampa, FL 33602-6808
Phone
(248) 321-6612
Fax
(813) 964-6337
NPI assigned
Oct 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gina M Pierce
Title
President
Phone
(248) 321-6612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

301 Harbour Place Dr Unit 2007
Tampa, FL 33602-6808

Mailing address

18155 Peninsula Way
Northville, MI 48168-8496
Phone (734) 945-8706

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1003381799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18155 PENINSULA WAY",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688496",
            "telephone_number": "734-945-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HARBOUR PLACE DR UNIT 2007",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336026808",
            "telephone_number": "248-321-6612",
            "fax_number": "813-964-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS MEDICAL GROUP SOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-321-6612"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.