Barry D. Simmons, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

006804 Issued in GA

Legal business name

BARRY D. SIMMONS, DDS, PC

Practice address

847 S Milledge Ave
Athens, GA 30605-1331

Phone

(706) 546-1716

Fax

(706) 546-1715

NPI assigned

May 14, 2018

Last updated

May 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Barron D. Simmons, DDSNPI 1003020595

Title

President

Phone

(706) 546-1716

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barron David Simmons, DDS

  • General Practice Dentistry
  • Athens, GA
  • NPI 1003020595
  NPD (past) Authorized official

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1407346505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 S MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051331",
            "telephone_number": "706-546-1716",
            "fax_number": "706-546-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 S MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051331",
            "telephone_number": "706-546-1716",
            "fax_number": "706-546-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY D. SIMMONS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "BARRON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-546-1716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "006804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "889547",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skye Mitchell Barrett, PA-C
• Tanya C Barrett, FNP-C
• Gloria Barro, RN
• Megan Diane Barron
• Jack Winston Barrow, MD
• William Earl Barry, M.D.
• Danny A Bartlett, CRNA
• Lisa Bartlow
• Elizabeth McKenzie Barton, FNP-C
• John Barton, MD

• Dental Clinic/Center in Athens, GA
• Providers in Athens, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.