Organization Active NPI

John F. Simmons M.D. P.C

  • Family Medicine Physician
  • Geneva, AL
National Provider Identifier
1053425595
Registry record updated Aug 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10418 Issued in AL
Legal business name
JOHN F. SIMMONS M.D. P.C
Practice address
915 W Hospital Dr
Geneva, AL 36340-1645
Phone
(334) 684-3644
Fax
(334) 684-6472
NPI assigned
Aug 19, 2006
Last updated
Aug 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2010

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

Authorized official

Name
Dr. John Franklin Simmons, M.D.
Title
Doctor
Phone
(334) 684-3644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10418 AL Primary

Addresses

Primary practice location

915 W Hospital Dr
Geneva, AL 36340-1645

Mailing address

915 W Hospital Dr
Geneva, AL 36340-1645
Phone (334) 684-3644

Other identifiers 4

IdentifierTypeStateIssuer
0441944500MedicaidFL
000016076OtherALBCBS
000016076MedicaidAL
0100304950OtherALCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101108000355 AL Part B Supplier - Clinic/Group Practice 6709071582 Receives reassigned benefits from 2 practitioners
Practice locations: Geneva, AL

National Provider Directory

National Provider Directory

Locations

915 W Hospital Dr
Geneva, AL 36340
Phone (334) 684-3643

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282953600000",
    "number": "1053425595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W HOSPITAL DR",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401645",
            "telephone_number": "334-684-3644",
            "fax_number": "334-684-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W HOSPITAL DR",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401645",
            "telephone_number": "334-684-3644",
            "fax_number": "334-684-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. SIMMONS M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-08-28",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "334-684-3644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "10418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441944500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000016076",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000016076",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "0100304950",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.