Individual provider Active NPI

Sandra Patricia Simms, PHYSICAL THERAPIST

  • Physical Therapist
  • Conyers, GA
National Provider Identifier
1215176730
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2860 Issued in GA
Practice address
2729 Black Shoals Rd NE
Conyers, GA 30012-1901
Phone
(404) 271-9184
Fax
(770) 760-9767
NPI assigned
Feb 5, 2009
Last updated
Feb 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2860 GA Primary

Addresses

Primary practice location

2729 Black Shoals Rd NE
Conyers, GA 30012-1901

Mailing address

2729 Black Shoals Rd NE
Conyers, GA 30012-1901
Phone (404) 271-9184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000093 GA Practitioner - Physical Therapist in Private Practice 4880505072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

1968 Hawks LN NE
Brookhaven, GA 30329-2283
Phone (404) 251-2537

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2860GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacesetter PT Services, Inc CurrentSince Sep 16, 2009 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 5, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Apr 5, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Apr 5, 2025 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients

Locations

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

1968 Hawks Ln NE
Brookhaven, GA 30329
Phone (404) 251-2537

3810 Salem Rd
Covington, GA 30016
Phone (404) 271-9184

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

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.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1215176730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 BLACK SHOALS RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300121901",
            "telephone_number": "404-271-9184",
            "fax_number": "770-760-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 BLACK SHOALS RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300121901",
            "telephone_number": "404-271-9184",
            "fax_number": "770-760-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "SANDRA",
        "middle_name": "PATRICIA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "2860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.