NPIMap

Individual provider Active NPI

Temple Walker Simpson, PA-C

  • Medical Physician Assistant
  • Summerville, SC
National Provider Identifier
1285822148
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1247 Issued in SC
Practice address
204 Parsons Rd
Summerville, SC 29483-3348
Phone
(854) 220-0120
Fax
(854) 220-0121
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 TL1247 SC
Medical Physician Assistant 363AM0700X 1247 SC Primary

Addresses

Primary practice location

204 Parsons Rd
Summerville, SC 29483-3348

Mailing address

204 Parsons Rd
Summerville, SC 29483-3348
Phone (854) 201-3636

Other identifiers 1

IdentifierTypeStateIssuer
0920PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080625000140 SC Practitioner - Physician Assistant 7719058338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Magnolia Endocrinology LLCGroup PAC ID 3779913934, 5 clinicians

Practice addresses (Care Compare)

204 Parsons Rd
Summerville, SC 29483-3348
Phone (843) 200-9351

Hospital & facility affiliations

  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Roper Hospital Hospital, Charleston, SC, CCN 420087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1247SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Totality Pediatrics Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Feb 1, 2010 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Dec 5, 2016 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Feb 1, 2010 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Current Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Dec 5, 2016 Accepting new patients

Locations

4630 Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-1299

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1285822148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PARSONS RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833348",
            "telephone_number": "854-201-3636",
            "fax_number": "854-220-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PARSONS RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833348",
            "telephone_number": "854-220-0120",
            "fax_number": "854-220-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "TEMPLE",
        "middle_name": "WALKER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "TL1247",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.