Active NPI
Keenan Jaleel Simmons, FNP
- Family Nurse Practitioner
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23714
- Practice address
- 1835 Rogers Rd
Anderson, SC 29621-2278 - Phone
- (864) 224-3358
- NPI assigned
- Feb 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23714 | SC | Primary |
Addresses
Primary practice location
1835 Rogers Rd
Anderson, SC 29621-2278
Mailing address
108 Calhoun Rd
Belton, SC 29627-1002
Phone (864) 202-9523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201123001063 | SC | Practitioner - Nurse Practitioner | 5991116048 | Reassigns benefits to 5 organizations |
| I20250303000357 | NC | Practitioner - Nurse Practitioner | 5991116048 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Calhoun Rd
Belton, SC 29627-1002
Phone (800) 424-3672
125 Hospital Dr
Spruce Pine, NC 28777-3035
Phone (828) 213-6115
323 Lebby St
Pelzer, SC 29669-1754
Phone (864) 847-2044
509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111
Hospital & facility affiliations
- Memorial Mission Hospital and Asheville Surgery Ce
- Harris Regional Hospital
- The McDowell Hospital
- Anmed Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 77.5
- Improvement activities
- 40
- Cost
- 74.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23714 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Current | Accepting new patients | |
| SC Urgent Care LLC | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Pelzer Urgent Care LLC | Current | Accepting new patients | |
| Southeastern Medical Group, PC | Current | Accepting new patients | |
| 24 On Physicians, PC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Hospice of the Upstate Inc | Past | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286
124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214
190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032
807 S Pendleton St
Easley, SC 29640
Phone (864) 307-9212
323 Lebby St
Pelzer, SC 29669
Phone (864) 847-2044
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 9
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.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC, SC
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
- Community Based Hospice Care Agency
- Anderson, SC
- NPI 1891794582
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Forest City, NC
- NPI 1962978122
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1184258642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CALHOUN RD",
"city": "BELTON",
"state": "SC",
"postal_code": "296271002",
"telephone_number": "864-202-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 ROGERS RD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212278",
"telephone_number": "864-224-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "KEENAN",
"middle_name": "JALEEL",
"name_prefix": "Dr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "23714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.