Active NPI
Deborah A Simmons, MD
- Anesthesiology Physician
- Lagrange, GA
National Provider Identifier
1376543736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 028706
- Practice address
- 1805 Vernon Rd
Suite C
Lagrange, GA 30240-4041 - Phone
- (706) 812-9902
- Fax
- (706) 812-0802
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 028706 | GA | Primary |
Addresses
Primary practice location
1805 Vernon Rd
Suite C
Lagrange, GA 30240-4041
Mailing address
1805 Vernon Rd
Suite C
Lagrange, GA 30240-4041
Phone (706) 812-9902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000333198D | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028706 | GA | MD | Anesthesiology Physician |
Interoperability endpoints
- deborah.simmons@westgahealth.gadirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1376543736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 VERNON RD",
"address_2": "SUITE C",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404041",
"telephone_number": "706-812-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 VERNON RD",
"address_2": "SUITE C",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404041",
"telephone_number": "706-812-9902",
"fax_number": "706-812-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "DEBORAH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "028706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000333198D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.