Individual provider Active NPI

Charis Jewelle Trench-Simmons, M.D.

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1245490085
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
058337 Issued in GA
Practice address
3885 Princeton Lakes Way SW
Suite 412
Atlanta, GA 30331-5589
Phone
(678) 365-2322
Fax
(678) 365-2333
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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 026079 LA
Obstetrics & Gynecology Physician 207V00000X 058337 GA Primary

Addresses

Primary practice location

3885 Princeton Lakes Way SW
Suite 412
Atlanta, GA 30331-5589

Mailing address

3885 Princeton Lakes Way SW Ste 412
Atlanta, GA 30331-5599
Phone (678) 365-2322

Other practice location 1

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone (337) 470-2605

Other identifiers 3

IdentifierTypeStateIssuer
481312922AMedicaidGA
481312922BMedicaidGA
481312922CMedicaidGA

Other names 1

  • Dr. Charis Jewelle Trench Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AR, LA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090114000365 GA Practitioner - Obstetrics/Gynecology 1850454026 Reassigns benefits to 3 organizations
I20250101000145 AR Practitioner - Obstetrics/Gynecology 1850454026 Reassigns benefits to 1 organization
I20260526004072 LA Practitioner - Obstetrics/Gynecology 1850454026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Georgia, P.C.Group PAC ID 9032383583, 34 clinicians
Prestige Healthcare Atlanta, LLCGroup PAC ID 3870753049, 2 clinicians

Practice addresses (Care Compare)

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 882-1411

5835 Campbellton Rd SW
Suite 301 302
Atlanta, GA 30331-8013
Phone (404) 346-7100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026079LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Jun 3, 2019 Accepting new patients
DHP of Arkansas PA Obstetrics & Gynecology CurrentSince Oct 20, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Feb 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
St. Joseph'S/Candler OB/GYN Practice, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Southside Medical Center, Inc. PastSince Nov 20, 2023 Accepting new patients
Karen L Fehr Dalessandromdpc Past Accepting new patients

Locations

1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

3886 Princeton Lakes Way SW
Ste 160
Atlanta, GA 30331
Phone (404) 530-3060

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

5354 Reynolds St
Ste 222
Savannah, GA 31405
Phone (912) 692-1080

5354 Reynolds St
Ste 422
Savannah, GA 31405
Phone (912) 354-2634

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Interoperability endpoints

  • Direct secure messaging: charis.trench-simmons.1@26427.direct.athenahealth.com

Organizations & group practices 9

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1245490085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 PRINCETON LAKES WAY SW STE 412",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315599",
            "telephone_number": "678-365-2322",
            "fax_number": "678-365-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 PRINCETON LAKES WAY SW",
            "address_2": "SUITE 412",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315589",
            "telephone_number": "678-365-2322",
            "fax_number": "678-365-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086902",
            "country_code": "US",
            "telephone_number": "337-470-2605",
            "fax_number": "337-470-4595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRENCH-SIMMONS",
        "first_name": "CHARIS",
        "middle_name": "JEWELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "026079",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "058337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481312922A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481312922B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481312922C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARIS",
            "last_name": "TRENCH",
            "middle_name": "JEWELLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.