Individual provider Active NPI

Carol W Simmons, RN,FNP,APN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1003892951
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11782 Issued in TN
Practice address
9155 Crestwyn Hills Dr
Memphis, TN 38125-8501
Phone
(901) 261-4848
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11782 TN Primary

Addresses

Primary practice location

9155 Crestwyn Hills Dr
Memphis, TN 38125-8501

Mailing address

1509 Dulles Dr
Lafayette, LA 70506-3718
Phone (337) 991-9276

Other identifiers 1

IdentifierTypeStateIssuer
3642375MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000212 TN Practitioner - Nurse Practitioner 4486668191 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Healthcare Community Care AssociatesGroup PAC ID 0941113757, 28 clinicians

Practice addresses (Care Compare)

8035 Club Pkwy
Cordova, TN 38016-5977
Phone (901) 758-6035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare Community Care Associates CurrentSince Jan 3, 2022 Accepting new patients
T M Carr MD PC CurrentSince Aug 21, 2021 Accepting new patients
Methodist Healthcare Community Care Associates Current Accepting new patients
Curana Health of Tennessee LLC Family CurrentSince Aug 1, 2015 Accepting new patients
Carr PLLC CurrentSince Aug 21, 2021 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Jan 3, 2022 Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients
Foundation Medical Group PLLC Past Accepting new patients

Locations

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

955 N Germantown Pkwy
Cordova, TN 38018
Phone (901) 754-1393

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

9155 Crestwyn Hills Dr
Memphis, TN 38125
Phone (901) 261-4848

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 219-1295

Interoperability endpoints

  • Direct secure messaging: csimmons24653@mlh.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1003892951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063718",
            "telephone_number": "337-991-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 CRESTWYN HILLS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258501",
            "telephone_number": "901-261-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CAROL",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "RN,FNP,APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "11782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3642375",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.