Organization Active NPI

Simple Screening, LLC

  • Clinical Medical Laboratory
  • Peachtree Corners, GA
National Provider Identifier
1215718499
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SIMPLE SCREENING, LLC
Practice address
3957 Holcomb Bridge Rd Ste 201
Peachtree Corners, GA 30092-5244
Phone
(678) 528-1161
Fax
(678) 528-1542
NPI assigned
Oct 12, 2023
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Tiffany Reeves, CPE, CPTNPI 1427839695
Title
Ceo
Phone
(678) 528-1161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3957 Holcomb Bridge Rd Ste 201
Peachtree Corners, GA 30092-5244

Mailing address

3957 Holcomb Bridge Rd Ste 201
Peachtree Corners, GA 30092-5244
Phone (678) 528-1161

Other names 1

  • SIMPLE SCREENING Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2288635Simple Screening, LLC3957 Holcomb Bridge Road, Suite 201, Norcross, GA 30092Certificate of waiverAug 28, 2027

National Provider Directory

National Provider Directory

Locations

3957 Holcomb Bridge Rd
Ste 201
Peachtree Corners, GA 30092
Phone (678) 528-1161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1215718499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 HOLCOMB BRIDGE RD STE 201",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300925244",
            "telephone_number": "678-528-1161",
            "fax_number": "678-528-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3957 HOLCOMB BRIDGE RD STE 201",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300925244",
            "telephone_number": "678-528-1161",
            "fax_number": "678-528-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE SCREENING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-528-1161",
        "authorized_official_credential": "CPE, CPT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMPLE SCREENING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.