Magdaline Simervil

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

0030022024 Issued in GA

Practice address

10216 Briarbay Loop
Jonesboro, GA 30238-6579

Phone

(404) 932-2107

NPI assigned

Jan 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Magdaline Guerrier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Moving Forward Consulant Company

  • Home Health Agency
  • Jonesboro, GA
  • NPI 1164001608
  NPD Authorized official

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1083375992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300610057",
            "telephone_number": "404-855-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 BRIARBAY LOOP",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386579",
            "telephone_number": "404-932-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMERVIL",
        "first_name": "MAGDALINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "0030022024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDALINE",
            "last_name": "GUERRIER",
            "credential": "CNA,MA,PCT,CPT,MBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shivashanker PC
• Shontella'S Caring Hearts LLC
• Jay V Shukla, MD
• Alexandra Shular
• Michelle A Shuler, D.M.D.
• Barby Janine Simmons, D.O.
• Thomas Simmons
• Indiya Simpson, DC
• Naniek Simpson
• Claude Sims

• Home Health Aide in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.