Active NPI
Alison J Simbana
- Driver
- Acworth, GA
National Provider Identifier
1306556865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 3105 Chelsea LN
Acworth, GA 30102-1282 - Phone
- (470) 880-0489
- NPI assigned
- Nov 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
3105 Chelsea LN
Acworth, GA 30102-1282
Mailing address
3105 Chelsea LN
Acworth, GA 30102-1282
Phone (470) 880-0489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19011 | Medicaid | GA |
Other names 1
- Rene R Simbana
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669248000000",
"number": "1306556865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 CHELSEA LN",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301021282",
"telephone_number": "470-880-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 CHELSEA LN",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301021282",
"telephone_number": "470-880-0489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMBANA",
"first_name": "ALISON",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-24",
"last_updated": "2022-11-24",
"certification_date": "2022-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19011",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RENE",
"last_name": "SIMBANA",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.