Active NPI
David Simpson, PA-C
- Physician Assistant
- Newport, TN
National Provider Identifier
1194768671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 181
- Practice address
- 435 2ND St
Newport, TN 37821-3703 - Phone
- (423) 625-2200
- NPI assigned
- Jun 13, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 181 | TN | Primary |
Addresses
Primary practice location
435 2ND St
Newport, TN 37821-3703
Mailing address
PO Box 634909
Cincinnati, OH 45263-4909
Phone (865) 985-7234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4017220 | Other | TN | BCBS OF TN |
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 |
|---|---|---|---|
| 181 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1194768671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634909",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452634909",
"telephone_number": "865-985-7234",
"fax_number": "865-985-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 2ND ST",
"city": "NEWPORT",
"state": "TN",
"postal_code": "378213703",
"telephone_number": "423-625-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "DAVID",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4017220",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.