Active NPI
Tommy L Sims, PA-C
- Physician Assistant
- Rocky Mount, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-10229
- Practice address
- 550 N Winstead Ave
Rocky Mount, NC 27804-2231 - Phone
- (524) 513-4112
- Fax
- (524) 513-4232
- NPI assigned
- Feb 15, 2006
- Last updated
- Apr 4, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-10229 | NC | Primary |
| Physician Assistant | 363A00000X | PA9101447 | FL |
Addresses
Primary practice location
550 N Winstead Ave
Rocky Mount, NC 27804-2231
Mailing address
3420 Merrifield Rd
Rocky Mount, NC 27804-2125
Phone (727) 482-0673
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017798600 | Medicaid | FL | |
| 9677425 | Other | FL | AETNA (FMSG) |
| 1065775 | Other | FL | CAREPLUS (BOA) |
| 292352100 | Other | FL | MEDICAID |
| Y06TW | Other | FL | BCBS |
| 7171751 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Washington School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1261 Julian Allsbrk Hwy
Roanoke Rapids, NC 27870-5127
Phone (252) 537-5600
2001 Sunset Ave
Rocky Mount, NC 27804-2523
Phone (252) 458-2508
212 N Spence Ave
Goldsboro, NC 27534-4318
Phone (919) 778-0851
2503 Forest Hills Rd W
Suite B
Wilson, NC 27893-3392
Phone (252) 991-0555
2908 N Herritage St
Kinston, NC 28501-1580
Phone (252) 523-3111
315 Greenville Blvd SE
Suite 100
Greenville, NC 27858-5733
Phone (252) 917-5621
7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.09 of 100
- Quality
- 65.78
- Improvement activities
- 40
- Cost
- 76.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-10229 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopaedics and Sports Medicine | Past | Accepting new patients | |
| Fastmed Primary Care, P.C. | Past | Accepting new patients | |
| Emergency Physician Specialists Inc | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Durham, NC
- NPI 1629841788
-
dba Comprehensive Orthopedic Global
- Specialist
- St Thomas, VI
- NPI 1851551675
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1912774423
-
dba The Center for Orthopaedics and Sports Medicine P.A.
- Orthopaedic Surgery Physician
- Venice, FL
- NPI 1174685044
-
- Emergency Medicine Physician
- Davenport, FL
- NPI 1912973850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1487628376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 MERRIFIELD RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042125",
"telephone_number": "727-482-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N WINSTEAD AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042231",
"telephone_number": "524-513-4112",
"fax_number": "524-513-4232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "TOMMY",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-10229",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9101447",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017798600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA (FMSG)",
"identifier": "9677425",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREPLUS (BOA)",
"identifier": "1065775",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "292352100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y06TW",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7171751",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.