Active NPI
Vanessa Jill Simmons, FNP-C
- Family Nurse Practitioner
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902051
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200014835 | Medicaid | MS |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3-000894 | AL | MD | Family Nurse Practitioner |
| 285528 | AZ | MD | Family Nurse Practitioner |
| 191190 | CT | MD | Family Nurse Practitioner |
| NP500009155 | DC | MD | Family Nurse Practitioner |
| RN500009155 | DC | MD | Family Nurse Practitioner |
| LG-0011936 | DE | MD | Family Nurse Practitioner |
| APRN11018287 | FL | MD | Family Nurse Practitioner |
| 3017700 | KY | MD | Family Nurse Practitioner |
| 870076 | MS | MD | Family Nurse Practitioner |
| 26NJ01482000 | NJ | MD | Family Nurse Practitioner |
| 202205791NP-PP | OR | MD | Family Nurse Practitioner |
| 31451 | TN | MD | Family Nurse Practitioner |
| 1075236 | TX | MD | Family Nurse Practitioner |
| 0024183734 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Triangle Urgent Care LLC | Family | Current | Accepting new patients |
| Golden Triangle Urgent Care LLC | Family | Current | Accepting new patients |
| Marshall Urgent Care | Family | Current | 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
- https://fhir.meditouchehr.com/api/fhir/r4/
- 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.
-
- Gastroenterology Physician
- Germantown, TN
- NPI 1417932492
MS
-
- Family Nurse Practitioner
- Holly Springs, MS
- NPI 1588103246
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.