Active NPI
Olivia Ann Simpson, NP
- Reproductive Endocrinology/Infertility Registered Nurse
- Moultrie, GA
National Provider Identifier
1497214654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology/Infertility Registered Nurse
- License
- RN221067
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN221067 | GA | MD | Reproductive Endocrinology/Infertility Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Medical Center LLC | Current | Accepting new patients | |
| Care Medical Center LLC | Current | 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
- 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.
-
- Exclusive Provider Organization
- Valdosta, GA
- NPI 1063521250
-
- Chiropractor
- Waycross, GA
- NPI 1376236232
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.