Individual provider Active NPI

Cynthia E. Simmons, PA

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1023178498
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1582 Issued in TN
Practice address
7211 Wellington Dr
Suite 101
Knoxville, TN 37919-5968
Phone
(865) 558-9822
NPI assigned
Dec 8, 2006
Last updated
Nov 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1582 TN Primary

Addresses

Primary practice location

7211 Wellington Dr
Suite 101
Knoxville, TN 37919-5968

Mailing address

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747

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
I20080519000249 TN Practitioner - Physician Assistant 8729062179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chuc, LLCGroup PAC ID 3375505134, 32 clinicians

Practice addresses (Care Compare)

105 Biddle Farms Blvd
Suite B 100
Knoxville, TN 37934-3604
Phone (865) 982-3409

117 Gill St
Alcoa, TN 37701-2672
Phone (865) 982-3409

6606 Clinton Hwy
Knoxville, TN 37912-1016
Phone (865) 429-4008

7625 Chapman Hwy
Suite 107
Knoxville, TN 37920-2353
Phone (863) 983-1310

902 Osprey Point LN
Knoxville, TN 37922-6586
Phone (865) 686-9930

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1582TNMDMental Health Counselor
1582NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Nov 1, 2009 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 1, 2009 Accepting new patients
Abercrombie Radiological Consultants Inc Past Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

7211 Wellington Dr
Ste 101
Knoxville, TN 37919
Phone (865) 588-8005

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1023178498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E WEISGARBER RD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092604",
            "telephone_number": "865-584-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 WELLINGTON DR",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195968",
            "telephone_number": "865-558-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CYNTHIA",
        "middle_name": "E.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.