Active NPI
Cindy Marie Simmons, PA-C
- Physician Assistant
- Trenton, GA
National Provider Identifier
1184783771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2943
- Practice address
- 111 North Pine Street
Trenton, GA 30752 - Phone
- (706) 657-3360
- Fax
- (706) 657-4400
- NPI assigned
- Dec 8, 2006
- Last updated
- Dec 10, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2943 | GA | Primary |
| Physician Assistant | 363A00000X | 1260 | TN |
Addresses
Primary practice location
111 North Pine Street
Trenton, GA 30752
Mailing address
12978 N. Main Street
Trenton, GA 30752
Phone (706) 657-4183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181516355A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2943 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation, Inc | Current | Accepting new patients | |
| Advanced Center for Sleep Disorders, Inc. | Past | Accepting new patients | |
| HMC Physician Billing LLC | Past | Accepting new patients | |
| Advanced Center for Sleep Disorders, Inc | Past | Accepting new patients | |
| Hutcheson Primary Care, LLC | Past | Accepting new patients |
Locations
611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606
4750 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8050
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
Interoperability endpoints
- cindysimmons@tnmhpf.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
-
- Internal Medicine Physician
- Fort Oglethorpe, GA
- NPI 1467504167
-
- Family Medicine Physician
- Chickamauga, GA
- NPI 1992751747
-
- Sleep Medicine (Internal Medicine) Physician
- Chattanooga, TN
- NPI 1831156686
-
- Sleep Medicine (Internal Medicine) Physician
- Chattanooga, TN
- NPI 1144597352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1184783771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12978 N. MAIN STREET",
"city": "TRENTON",
"state": "GA",
"postal_code": "30752",
"telephone_number": "706-657-4183",
"fax_number": "706-657-4270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 NORTH PINE STREET",
"city": "TRENTON",
"state": "GA",
"postal_code": "30752",
"telephone_number": "706-657-3360",
"fax_number": "706-657-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "CINDY",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "2943",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1260",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181516355A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.