Individual provider Active NPI

Walter Lee Sims, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1235103490
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
678 Issued in TN
Practice address
2301 21St Ave S
Nashville, TN 37212-4908
Phone
(615) 327-9797
Fax
(615) 613-0329
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 678 TN Primary
Dermatology Physician 207N00000X 678 TN

Addresses

Primary practice location

2301 21St Ave S
Nashville, TN 37212-4908

Mailing address

2301 21St Ave S
Nashville, TN 37212-4908
Phone (615) 327-9797

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921001283 TN Practitioner - Physician Assistant 0749258341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nashville Skin and Cancer, PLCGroup PAC ID 2961446026, 18 clinicians

Practice addresses (Care Compare)

2301 21St Ave S
Nashville, TN 37212-4908
Phone (615) 327-9797

6130 Nolensville Pike
Nashville, TN 37211-6813
Phone (615) 327-9797

Merit-based Incentive Payment System (MIPS)

Final score
83.55 of 100Reported as group
Quality
80.6
Promoting interoperability
97
Improvement activities
40
Cost
67.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
678TNMDAthletic Trainer
004575GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stratum Health Collective PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wsims@nashskin.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1235103490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124908",
            "telephone_number": "615-327-9797",
            "fax_number": "615-613-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124908",
            "telephone_number": "615-327-9797",
            "fax_number": "615-613-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "WALTER",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "678",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.