Active NPI
Robert Scott Simmons, D.C.
- Chiropractor
- Tifton, GA
National Provider Identifier
1255415071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIROO6565
- Practice address
- 215 4TH St E Ste a
Tifton, GA 31794-4421 - Phone
- (229) 388-9339
- Fax
- (229) 388-9339
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH6732 | FL | |
| Chiropractor | 111N00000X | CHIROO6565 | GA | Primary |
Addresses
Primary practice location
215 4TH St E Ste a
Tifton, GA 31794-4421
Mailing address
PO Box 2197
Tifton, GA 31793-2197
Phone (229) 388-9339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120103000029 | GA | Practitioner - Chiropractic | 4385810928 | Practice locations: Tifton, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
215 4TH St E
Suite a
Tifton, GA 31794-4421
Phone (229) 388-9339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH6732 | FL | MD | Chiropractor |
| CHIROO6565 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1255415071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2197",
"city": "TIFTON",
"state": "GA",
"postal_code": "317932197",
"telephone_number": "229-388-9339",
"fax_number": "229-388-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 4TH ST E STE A",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944421",
"telephone_number": "229-388-9339",
"fax_number": "229-388-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2025-03-03",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH6732",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIROO6565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.