Individual provider Active NPI

Olivia Ann Simpson, NP

  • Reproductive Endocrinology/Infertility Registered Nurse
  • Moultrie, GA
National Provider Identifier
1497214654
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology/Infertility Registered NurseTaxonomy code 163WR1000X
License
RN221067 Issued in GA
Practice address
1 Sweet Bay CT
Moultrie, GA 31768-6756
Phone
(229) 891-9087
Fax
(229) 891-9601
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology/Infertility Registered Nurse 163WR1000X RN221067 GA Primary

Addresses

Primary practice location

1 Sweet Bay CT
Moultrie, GA 31768-6756

Mailing address

PO Box 2876
Moultrie, GA 31776-2876
Phone (229) 891-9087

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191222000027 GA Practitioner - Nurse Practitioner 8527492743 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN221067GAMDReproductive Endocrinology/Infertility Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Care Medical Center LLC CurrentSince Nov 1, 2019 Accepting new patients
Care Medical Center LLC CurrentSince Nov 1, 2019 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1497214654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762876",
            "telephone_number": "229-891-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SWEET BAY CT",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686756",
            "telephone_number": "229-891-9087",
            "fax_number": "229-891-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "OLIVIA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Reproductive Endocrinology/Infertility",
            "state": "GA",
            "license": "RN221067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

Verify at the official NPI Registry.