Individual provider Active NPI

Ann Coon Sims, PA-C

  • Physician Assistant
  • Tuscaloosa, AL
National Provider Identifier
1346927647
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.2304 Issued in AL
Practice address
100 Rice Mine Rd N Ste 100
Tuscaloosa, AL 35406-3905
Phone
(205) 349-4200
Fax
(205) 349-4285
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.2304 AL Primary

Addresses

Primary practice location

100 Rice Mine Rd N Ste 100
Tuscaloosa, AL 35406-3905

Mailing address

5479 Park Ave
Tuscaloosa, AL 35406-3283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240523000056 AL Practitioner - Physician Assistant 9638511694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Hwy 80 E
Demopolis, AL 36732-3605
Phone (334) 287-2647

1780 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Phone (205) 345-7351

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Physician Network, P.C. CurrentSince Apr 14, 2025 Accepting new patients
Internal Medicine Associates of Tuscaloosa, P.C. CurrentSince May 19, 2024 Accepting new patients

Locations

100 Rice Mine Rd N
Ste 100
Tuscaloosa, AL 35406
Phone (205) 349-4200

1780 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 345-7351

Organizations & group practices 3

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1346927647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5479 PARK AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N STE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063905",
            "telephone_number": "205-349-4200",
            "fax_number": "205-349-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "ANN",
        "middle_name": "COON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.2304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.