NPIMap

Individual provider Active NPI

Andrew Tyler Sims, NP

  • Family Nurse Practitioner
  • Fountain Inn, SC
National Provider Identifier
1164316998
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30476 Issued in SC
Practice address
3 Drinkard CT
Fountain Inn, SC 29644-9778
Phone
(864) 270-7136
NPI assigned
Jun 5, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30476 SC Primary

Addresses

Primary practice location

3 Drinkard CT
Fountain Inn, SC 29644-9778

Mailing address

3 Drinkard CT
Fountain Inn, SC 29644-9778
Phone (864) 270-7136

Other practice location 1

1336 Highway 14
Simpsonville, SC 29681-5637
Phone (864) 522-4700

Other identifiers 1

IdentifierTypeStateIssuer
30476OtherSCSTATE APRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022001166 SC Practitioner - Nurse Practitioner 9032607049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1336 Hwy 14
Simpsonville, SC 29681-5637
Phone (864) 522-4705

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Sep 7, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 7, 2025 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1336 Highway 14
Simpsonville, SC 29681
Phone (864) 522-4705

Interoperability endpoints

  • Direct secure messaging: asims166298@direct.ghs.myhfn.org

Organizations & group practices 2

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.

Hospital & facility affiliations 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1164316998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DRINKARD CT",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449778",
            "telephone_number": "864-270-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DRINKARD CT",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449778",
            "telephone_number": "864-270-7136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1336 Highway 14",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296815637",
            "country_code": "US",
            "telephone_number": "864-522-4700",
            "fax_number": "864-522-4705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "ANDREW",
        "middle_name": "TYLER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE APRN LICENSE",
            "identifier": "30476",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Inn, SC

Sources for this page

Verify at the official NPI Registry.