Rebekah G Simmons-Todd, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105080 Issued in FL

Practice address

2420 E Plaza Dr
Tallahassee, FL 32308-5353

Phone

(850) 701-0621

Fax

(850) 877-6727

NPI assigned

Sep 17, 2009

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

Other identifiers 1

Other names 1

• Rebekah G Lewis Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Tallahassee Medical Group, PLLC

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1972265130
  Medicare reassignment
• Tallahassee Primary Care Associates, PA

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1972661262
  Medicare reassignment
• South Florida Surgical Specialists LLC

  • Surgery Physician
  • Coral Springs, FL
  • NPI 1952409963
  NPD
• Tmgim PLLC

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1588492284
  NPD (past)

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1306179734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12427",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323172427",
            "telephone_number": "850-297-0114",
            "fax_number": "850-297-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 E PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085353",
            "telephone_number": "850-701-0621",
            "fax_number": "850-877-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS-TODD",
        "first_name": "REBEKAH",
        "middle_name": "G",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024923700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "LEWIS",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary Tyler Silvano, DO
• Silver Lining Speech and Language LLC
• Emily Silver
• David Alan Silvers
• Stephen Michael Silvers, D.M.D.
• Brandon Duval Simmons, ARNP
• Brittany Lewis Simmons
• Cassie Simmons
• Emily Simmons
• Jayla Ann Simmons

• Physician Assistant in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.