Allison Christy Simon, PA
Individual provider Active NPI Physician Assistant · Greenville, SC
NPI 1366428385 · NPPES record last updated May 14, 2021
Key facts
- NPI
- 1366428385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 718 (SC)
- Practice address
- 877 W Faris Rd
Ste B
Greenville, SC 29605-5608 - Phone
- (864) 455-6900
- Fax
- (864) 255-5619
- NPI assigned
- Dec 21, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 39
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
1005 Grove Rd
Greenville, SC 29605-4630
Phone (864) 455-6900
210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123
717 SE Main St
Simpsonville, SC 29681-3237
Phone (864) 522-5400
719 A SE Main St
Simpsonville, SC 29681-3237
Phone (864) 967-9000
719 SE Main St
Simpsonville, SC 29681-3237
Phone (864) 522-5400
741 SE Main St
Simpsonville, SC 29681-3237
Phone (864) 522-8420
Hospital & facility affiliations
- Prisma Health Greenville Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070306000518 | SC | Practitioner - Physician Assistant | 1153424437 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 718 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Carolina Cardiology Consultants, P.a. | Past | Accepting new patients | |
| Prisma Health University Medical Group | Past | Accepting new patients |
Locations
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
877 W Faris Rd
Ste B
Greenville, SC 29605
Phone (864) 522-6225
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
300 E McBee Ave
Greenville, SC 29601
Phone (803) 434-1335
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
1005 Grove Rd
Greenville, SC 29605
Phone (864) 235-7665
719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Interoperability endpoints
- asimon6034@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 718 | SC | Yes |
Addresses
Primary practice location
877 W Faris Rd
Ste B
Greenville, SC 29605-5608
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 797-6022
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0976PA | Medicaid | SC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asimon6034@direct.ghs.myhfn.org |
Other providers in Greenville, SC
- Morgan Gregg Simmons
- Tiffany Simmons
- Zachary Simmons
- Lauren Simms
- Nicholas Simms
- Samuel Jay Simon
- Liubou Grigoryevna Simonovich
- Anna Simons
- Christopher M Simons
- Jenna Simons
All providers in Greenville, SC · Physician Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.