Active NPI
Jennifer Simonds, PMHCNS-BC
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN093496
- Practice address
- 1 Freedom Way
Augusta, GA 30904-6258 - Phone
- (706) 733-0188
- Fax
- (706) 731-7288
- NPI assigned
- May 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | RN093496 | GA | Primary |
Addresses
Primary practice location
1 Freedom Way
Augusta, GA 30904-6258
Mailing address
1224 Hardy Point Dr
Evans, GA 30809-5281
Phone (803) 634-0305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Medical College of Georgia School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3405 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone (705) 790-2030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN093496 | GA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Behavioral Health & Developmental Disabilities, Ga | Current | Accepting new patients | |
| Evolve Managed Care Solutions | Current | Accepting new patients | |
| Department of Behavioral Health and Developmental Disabilities | Current | Accepting new patients | |
| Department of Behavioral Health and Developmental Disabilities | Current | Accepting new patients | |
| Augusta Psychiatry and Therapy Associates, LLC | Current | Accepting new patients | |
| Personal Recovery Network LLC | Current | Accepting new patients |
Locations
3633 Wheeler Rd
Ste 365
Augusta, GA 30909
Phone (706) 432-6866
3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030
3665 Wheeler Rd
Ste 1A
Augusta, GA 30909
Phone (706) 250-3902
519 Blackburn Dr
Ste 523
Martinez, GA 30907
Phone (706) 267-0793
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Organizations & group practices 6
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.
-
- Psychiatric Hospital
- Milledgeville, GA
- NPI 1902030307
-
- Mental Health Counselor
- Augusta, GA
- NPI 1619780392
-
- Psychiatry Physician
- Augusta, GA
- NPI 1336843499
-
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
-
- Neurology Physician
- Thomasville, GA
- NPI 1174942684
-
- Psychiatric Hospital
- Augusta, GA
- NPI 1093046005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1437477262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 HARDY POINT DR",
"city": "EVANS",
"state": "GA",
"postal_code": "308095281",
"telephone_number": "803-634-0305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FREEDOM WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046258",
"telephone_number": "706-733-0188",
"fax_number": "706-731-7288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONDS",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "PMHCNS-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-04",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "GA",
"license": "RN093496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.