Individual provider Active NPI

Caleigh M Simon, NP-C, MSN

  • Family Nurse Practitioner
  • Mauldin, SC
National Provider Identifier
1154723039
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27198 Issued in SC
Practice address
224 E Butler Rd
Mauldin, SC 29662-2129
Phone
(866) 389-2727
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18895 TN
Sleep Medicine (Family Medicine) Physician 207QS1201X 18895 TN
Family Nurse Practitioner 363LF0000X 27198 SC Primary

Addresses

Primary practice location

224 E Butler Rd
Mauldin, SC 29662-2129

Mailing address

224 E Butler Rd
Mauldin, SC 29662-2129
Phone (866) 389-2727

Other practice location 1

9137 Middlebrook Pike
Knoxville, TN 37923-1425
Phone (865) 670-0591

Other practice location 2

10800 Parkside Dr Ste 202
Knoxville, TN 37934
Phone (865) 218-7463

Other practice location 3

6005 Kingston Pike
Knoxville, TN 37919-6346
Phone (865) 588-5156

Other practice location 4

3901 Pelham Rd
Greenville, SC 29615-5004
Phone (866) 389-2727

Other identifiers 1

IdentifierTypeStateIssuer
Q009046MedicaidTN

Other names 1

  • Caleigh M Van Nortwick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141223001256 TN Practitioner - Nurse Practitioner 5395068357 Reassigns benefits to 1 organization
I20230517002089 SC Practitioner - Nurse Practitioner 5395068357 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic South Carolina LLCGroup PAC ID 8527126861, 113 clinicians

Practice addresses (Care Compare)

3901 Pelham Rd
Greenville, SC 29615-5004
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
27198SCMDFamily Nurse Practitioner
18895TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care South Carolina LLC Family CurrentSince Sep 17, 2025 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince May 21, 2023 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Apr 20, 2023 Accepting new patients
Tranquility Sleep Specialists PLC CurrentSince Jan 2, 2017 Accepting new patients

Locations

3901 Pelham Rd
Greenville, SC 29615
Phone (864) 288-3672

224 E Butler Rd
Mauldin, SC 29662
Phone (864) 234-1282

8995 University Blvd
North Charleston, SC 29406
Phone (843) 410-0701

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

7323 Chapman Hwy
Ste 160
Knoxville, TN 37920
Phone (865) 647-3860

10820 Parkside Dr
Ste 160
Knoxville, TN 37934
Phone (865) 632-5627

10800 Parkside Dr
Ste 202
Knoxville, TN 37934
Phone (865) 218-7463

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1154723039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E BUTLER RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622129",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E BUTLER RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622129",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9137 Middlebrook Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379231425",
            "country_code": "US",
            "telephone_number": "865-670-0591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10800 Parkside Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37934",
            "country_code": "US",
            "telephone_number": "865-218-7463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6005 Kingston Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379196346",
            "country_code": "US",
            "telephone_number": "865-588-5156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Pelham Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296155004",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "CALEIGH",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP-C, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18895",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "TN",
            "license": "18895",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009046",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALEIGH",
            "last_name": "VAN NORTWICK",
            "middle_name": "M",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mauldin, SC

Sources for this page

Verify at the official NPI Registry.