Individual provider Active NPI

Kelly C Simkins, D.O.

  • Obstetrics & Gynecology Physician
  • Hendersonville, TN
National Provider Identifier
1184860595
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3811 Issued in TN
Practice address
353 New Shackle Island Rd Ste 341C
Hendersonville, TN 37075-2354
Phone
(615) 826-1716
Fax
(615) 826-4841
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036122362 IL
Obstetrics & Gynecology Physician 207V00000X 3811 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd Ste 341C
Hendersonville, TN 37075-2354

Mailing address

353 New Shackle Island Rd Ste 341C
Hendersonville, TN 37075-2354
Phone (615) 826-1716

Other practice location 1

353 New Shackle Island Rd Ste 240C
Hendersonville, TN 37075-2367
Phone (615) 826-1716

Other identifiers 1

IdentifierTypeStateIssuer
036122362MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KELLY.SIMKINS@hca1.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200519000058 TN Practitioner - Obstetrics/Gynecology 8628235942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

353 New Shackle Island Rd
Suite 247C
Hendersonville, TN 37075-2366
Phone (615) 264-5850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036122362ILMDObstetrics & Gynecology Physician
3811TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Obstetrics & Gynecology CurrentSince Nov 1, 2024 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Nov 1, 2024 Accepting new patients

Locations

353 New Shackle Island Rd
Ste 240C
Hendersonville, TN 37075
Phone (615) 826-1716

353 New Shackle Island Rd
Ste 247C
Hendersonvlle, TN 37075
Phone (615) 264-5850

353 New Shackle Island Rd
Ste 341C
Hendersonvlle, TN 37075
Phone (615) 826-1716

353 New Shackle Island Rd
Ste 221B
Hendersonvlle, TN 37075
Phone (615) 202-5102

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: kelly.simkins@hca1.eclinicaldirectplus.com
  • Direct secure messaging: kelly.simkins@ahp.eclinicaldirectplus.com

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1184860595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 341C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752354",
            "telephone_number": "615-826-1716",
            "fax_number": "615-826-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 341C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752354",
            "telephone_number": "615-826-1716",
            "fax_number": "615-826-4841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 New Shackle Island Rd Ste 240C",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752367",
            "country_code": "US",
            "telephone_number": "615-826-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMKINS",
        "first_name": "KELLY",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036122362",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "3811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036122362",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KELLY.SIMKINS@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "353 New Shackle Island Rd Ste 341C",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370752354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.