Individual provider Active NPI

Janice Denise Sims, APRN

  • Gerontology Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1407528896
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
30546 Issued in TN
Practice address
725 Glenwood Dr Ste E500
Chattanooga, TN 37404-1138
Phone
(423) 495-2635
Fax
(423) 495-2638
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 30546 TN
Gerontology Nurse Practitioner 363LG0600X 226303 GA
Gerontology Nurse Practitioner 363LG0600X 30546 TN Primary

Addresses

Primary practice location

725 Glenwood Dr Ste E500
Chattanooga, TN 37404-1138

Mailing address

725 Glenwood Dr Ste E500
Chattanooga, TN 37404-1138
Phone (423) 495-2635

Other practice location 1

2051 Hamill Rd Ste 205
Hixson, TN 37343-4653
Phone (423) 495-2635

Other practice location 2

3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-3294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20211110001365 TN Practitioner - Nurse Practitioner 3971992132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
226303GAMDGerontology Nurse Practitioner
30546TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc CurrentSince Oct 20, 2021 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Oct 20, 2021 Accepting new patients
Gwinnett Medical Group, Inc Past Accepting new patients

Locations

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

725 Glenwood Dr
Ste E588
Chattanooga, TN 37404
Phone (423) 206-9025

725 Glenwood Dr
Ste E786
Chattanooga, TN 37404
Phone (423) 682-8150

725 Glenwood Dr
Ste E500
Chattanooga, TN 37404
Phone (423) 495-2635

2051 Hamill Rd
Ste 205
Hixson, TN 37343
Phone (423) 495-2635

Interoperability endpoints

  • Direct secure messaging: janice.sims.1@11076.direct.athenahealth.com
  • Direct secure messaging: janicesims@tnmhpf.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1407528896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E500",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041138",
            "telephone_number": "423-495-2635",
            "fax_number": "423-495-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E500",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041138",
            "telephone_number": "423-495-2635",
            "fax_number": "423-495-2638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 Hamill Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373434653",
            "country_code": "US",
            "telephone_number": "423-495-2635",
            "fax_number": "423-495-2638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Howell Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300963178",
            "country_code": "US",
            "telephone_number": "678-312-3294",
            "fax_number": "678-312-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "JANICE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "30546",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "226303",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "30546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.