Active NPI
Jonathan Brooks Simpson, DPM
- Primary Podiatric Medicine Podiatrist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 638
- Practice address
- 5960 Fairview Rd Ste 300
Charlotte, NC 28210-0202 - Phone
- (888) 964-6681
- Fax
- (888) 662-0859
- NPI assigned
- Sep 7, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 638 | NC | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 638 | NC | Primary |
Addresses
Primary practice location
5960 Fairview Rd Ste 300
Charlotte, NC 28210-0202
Mailing address
355 W Martin Luther King Blvd Apt 2115
Charlotte, NC 28202-3081
Phone (980) 329-0006
Other practice location 1
462 1st Ave
New York, NY 10016-9196
Phone (212) 562-4891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5960 Fairview Rd
Suite 300
Charlotte, NC 28210-0202
Phone (888) 964-6681
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1881 |
| Removal or shaving of skin growth | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 638 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Podiatry Group NC, PC | Current | Accepting new patients |
Locations
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
5960 Fairview Rd
Ste 300
Charlotte, NC 28210
Phone (732) 806-0804
Organizations & group practices 1
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.
-
- Podiatrist
- Charlotte, NC
- NPI 1629662598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1265833479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 W MARTIN LUTHER KING BLVD APT 2115",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282023081",
"telephone_number": "980-329-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5960 FAIRVIEW RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282100202",
"telephone_number": "888-964-6681",
"fax_number": "888-662-0859"
}
],
"practiceLocations": [
{
"address_1": "462 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100169196",
"country_code": "US",
"telephone_number": "212-562-4891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMPSON",
"first_name": "JONATHAN",
"middle_name": "BROOKS",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-07",
"last_updated": "2023-08-07",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "638",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NC",
"license": "638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.