Tommy Kent Sims, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01168 Issued in TX

Practice address

205 E Lavielle St
Kirbyville, TX 75956-2119

Phone

(404) 232-2117

Fax

(409) 423-2421

NPI assigned

Jan 3, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1134540560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E LAVIELLE ST",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759562119",
            "telephone_number": "404-232-2117",
            "fax_number": "409-423-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E LAVIELLE ST",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759562119",
            "telephone_number": "404-232-2117",
            "fax_number": "409-423-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "TOMMY",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah E Roberts
• S&R Drug Company
• Patricia L Scott, RN, APRN, FNP-BC
• John Vincent Sessions, D.D.S.
• Jason Alan Shirley, LPC
• Dale August Staggemeier Jr., MD
• Amanda Teague, MPT
• Texas Total Care, Inc.
• Courtney D Webb
• Chad E Wiggins, PHARMD

• Physician Assistant in Kirbyville, TX
• Providers in Kirbyville, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.