Jill Katherine Simon, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2017-01639 Issued in NC

Practice address

1781 Tate Blvd SE Ste 201
Hickory, NC 28602-4252

Phone

(254) 724-7588

NPI assigned

May 1, 2013

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

• Jill Katherine Smith Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

George Washington University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jill.simon.1@15786.direct.athenahealth.com

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.

• DLP Frye Medical Group LLC

  • Rural Health Clinic/Center
  • Lincolnton, NC
  • NPI 1154005965
  Medicare reassignment Care Compare group NPD
• DLP Frye Medical Group LLC

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1922547793
  NPD
• DLP Frye Medical Group LLC

  • Cardiovascular Disease Physician
  • Hickory, NC
  • NPI 1093253205
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Frye Regional Medical Center LLC

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1801823349
  Care Compare affiliation

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1124463336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 TATE BLVD SE STE 201",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024252",
            "telephone_number": "215-534-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 TATE BLVD SE STE 201",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024252",
            "telephone_number": "254-724-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JILL",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2017-01639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SMITH",
            "middle_name": "KATHERINE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ethige Vayangana Ranmalitie Silva, MS
• Nicole Michelle Simerly, FNP
• Michael Luke Simhachalam
• Deana Pennell Simmons, MA, LCAS-A
• Veronica Simmons, OT
• John Henry Simpson
• Julianna Nemeth Simpson, COTA/L
• Nancy M Simpson, CRNA
• Andrea Nicole Sinclair, PSYD
• Eric E Sipe, LPA

• Obstetrics & Gynecology Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.