Active NPI
Kelsey Simmons, FNP-BC
- Gastroenterology Physician
- Conyers, GA
National Provider Identifier
1497674196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- APRN-NP295063
- Practice address
- 1301 Sigman Rd NE Ste 170
Conyers, GA 30012-3923 - Phone
- (678) 806-3690
- NPI assigned
- Jul 15, 2026
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | APRN-NP295063 | GA | Primary |
Addresses
Primary practice location
1301 Sigman Rd NE Ste 170
Conyers, GA 30012-3923
Mailing address
830 Marks Rd
Mansfield, GA 30055-2718
Other practice location 1
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 912-3530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Past | Accepting new patients | |
| Rocdale Physician Practices, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Internal Medicine Physician
- Covington, GA
- NPI 1598197758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1497674196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 MARKS RD",
"city": "MANSFIELD",
"state": "GA",
"postal_code": "300552718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SIGMAN RD NE STE 170",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123923",
"telephone_number": "678-806-3690"
}
],
"practiceLocations": [
{
"address_1": "1412 Milstead Ave NE",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300123877",
"country_code": "US",
"telephone_number": "770-912-3530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "KELSEY",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "APRN-NP295063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.