Oletha Doss Simmons, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012841 Issued in GA

Practice address

2883 N Decatur Rd
Suite F
Decatur, GA 30033-7427

Phone

(404) 299-7411

Fax

(404) 299-5466

NPI assigned

Nov 1, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Pacific Coast Group

  dba Dove Dental Specialists

  • Dental Clinic/Center
  • Decatur, GA
  • NPI 1376929984
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285711820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 N DECATUR RD",
            "address_2": "SUITE F",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300337427",
            "telephone_number": "404-299-7411",
            "fax_number": "404-299-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 N DECATUR RD",
            "address_2": "SUITE F",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300337427",
            "telephone_number": "404-299-7411",
            "fax_number": "404-299-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "OLETHA",
        "middle_name": "DOSS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Christopher Silvestro, DC
• Jorge E Simmonds-Diaz, MD
• Stacie Simmons-Miller, RBT
• Ashley Simmons
• Megan Simmons, LMT
• Deborah Simms
• Gary A Simms, D.M.D.
• Sicura Simms
• Natacha Simon-Christie, DNP, CRNA
• Nia Nikkia Simon

• General Practice Dentistry in Decatur, GA
• Providers in Decatur, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.