Individual provider Active NPI

Vanessa Jill Simmons, FNP-C

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1154844033
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902051 Issued in MS
Practice address
589 Garfield St Ste 201
Tupelo, MS 38801-6301
Phone
(662) 680-5565
Fax
(662) 680-5654
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN500009155 DC
Family Nurse Practitioner 363LF0000X 3-000894 AL
Family Nurse Practitioner 363LF0000X 202205791NP-PP OR
Family Nurse Practitioner 363LF0000X NP500009155 DC
Family Nurse Practitioner 363LF0000X 0024183734 VA
Family Nurse Practitioner 363LF0000X 191190 CT
Family Nurse Practitioner 363LF0000X LG-0011936 DE
Family Nurse Practitioner 363LF0000X APRN11018287 FL
Family Nurse Practitioner 363LF0000X 31451 TN
Family Nurse Practitioner 363LF0000X 3017700 KY
Family Nurse Practitioner 363LF0000X 1075236 TX
Family Nurse Practitioner 363LF0000X 285528 AZ
Family Nurse Practitioner 363LF0000X 902051 MS Primary
Family Nurse Practitioner 363LF0000X 26NJ01482000 NJ
Family Nurse Practitioner 363LF0000X 870076 MS

Addresses

Primary practice location

589 Garfield St Ste 201
Tupelo, MS 38801-6301

Mailing address

PO Box 381468
Germantown, TN 38183-1468
Phone (901) 377-8219

Other practice location 1

1154 Cross Creek Dr
Saltillo, MS 38866-5777
Phone (662) 840-8010

Other identifiers 1

IdentifierTypeStateIssuer
200014835MedicaidMS

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20171102000885 MS Practitioner - Nurse Practitioner 7416213749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Triangle Urgent Care LLCGroup PAC ID 7315197498, 14 clinicians
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

1154 Cross Creek Dr
Saltillo, MS 38866-5777
Phone (662) 840-8010

589 Garfield St
Suite 201
Tupelo, MS 38801-6301
Phone (662) 680-5565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3-000894ALMDFamily Nurse Practitioner
285528AZMDFamily Nurse Practitioner
191190CTMDFamily Nurse Practitioner
NP500009155DCMDFamily Nurse Practitioner
RN500009155DCMDFamily Nurse Practitioner
LG-0011936DEMDFamily Nurse Practitioner
APRN11018287FLMDFamily Nurse Practitioner
3017700KYMDFamily Nurse Practitioner
870076MSMDFamily Nurse Practitioner
26NJ01482000NJMDFamily Nurse Practitioner
202205791NP-PPORMDFamily Nurse Practitioner
31451TNMDFamily Nurse Practitioner
1075236TXMDFamily Nurse Practitioner
0024183734VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Triangle Urgent Care LLC Family CurrentSince Oct 9, 2019 Accepting new patients
Golden Triangle Urgent Care LLC Family CurrentSince Oct 9, 2019 Accepting new patients
Marshall Urgent Care Family CurrentSince Jul 8, 2019 Accepting new patients

Locations

1503 Highway 45 N
Columbus, MS 39705
Phone (601) 328-9623

1696 Crescent Meadows Dr
Holly Springs, MS 38635
Phone (662) 274-3218

550 Craft St
Holly Springs, MS 38635
Phone (662) 274-3218

1154 Cross Creek Dr
Saltillo, MS 38866
Phone (662) 840-8010

1154 Cross Creek Dr
Ste 3
Saltillo, MS 38866
Phone (662) 840-8010

500 Russell St
Ste 3
Starkville, MS 39759
Phone (662) 324-2244

7474 Highway 45 Alternate
West Point, MS 39773
Phone (662) 494-5863

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jsimmons@direct.meditouchehr.com

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1154844033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468",
            "telephone_number": "901-377-8219",
            "fax_number": "901-328-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 GARFIELD ST STE 201",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016301",
            "telephone_number": "662-680-5565",
            "fax_number": "662-680-5654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1154 Cross Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Saltillo",
            "state": "MS",
            "postal_code": "388665777",
            "country_code": "US",
            "telephone_number": "662-840-8010",
            "fax_number": "662-840-2656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "VANESSA",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN500009155",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-000894",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202205791NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500009155",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183734",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "191190",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011936",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018287",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31451",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1075236",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "285528",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902051",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01482000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "870076",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200014835",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.