Individual provider Active NPI

Jennifer Sims, D.O.

  • Family Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1548619166
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
010670 Issued in GA
Practice address
233 N Houston Rd Ste 140a
Warner Robins, GA 31093-3023
Phone
(478) 923-2843
Fax
(478) 975-6766
NPI assigned
Jun 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 010670 GA Primary

Addresses

Primary practice location

233 N Houston Rd Ste 140a
Warner Robins, GA 31093-3023

Mailing address

233 N Houston Rd Ste 140a
Warner Robins, GA 31093-3023
Phone (478) 975-6720

Other practice location 1

1118 Ga Highway 96
Kathleen, GA 31047-2111
Phone (478) 975-6890

Other practice location 2

2510 Ga Highway 127
Kathleen, GA 31047-2828
Phone (478) 975-6800

Other names 1

  • Jennifer Sims Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190823001636 GA Practitioner - Family Practice 6800149527
I20230815002647 TX Practitioner - Family Practice 6800149527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Doctors Urgent Care of Northlake PLLCGroup PAC ID 5294107249, 13 clinicians
Integrative Emergency Services Physician Group PAGroup PAC ID 0749447936, 71 clinicians
Doctors Urgent Care - Flower Mound PLLCGroup PAC ID 0547616625, 14 clinicians

Practice addresses (Care Compare)

1234 FM 407
Suite 200
Northlake, TX 76226-5734
Phone (940) 222-5215

1500 S Main St
1St FL Outpatient
Ft. Worth, TX 76104-4917
Phone (817) 702-3431

2400 Long Prairie Rd
Flower Mound, TX 75022-4800
Phone (940) 222-5215

Hospital & facility affiliations

  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
010670GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Urgent Care - Flower Mound PLLC CurrentSince Dec 1, 2023 Accepting new patients
Doctors Urgent Care of Northlake PLLC CurrentSince Jul 20, 2023 Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients
Health Services of Central Georgia, Inc Family Medicine PastSince Aug 1, 2013 Accepting new patients

Locations

1234 FM 407 W
Ste 200
Northlake, TX 76226
Phone (940) 222-5215

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1548619166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N HOUSTON RD STE 140A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933023",
            "telephone_number": "478-975-6720",
            "fax_number": "478-975-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N HOUSTON RD STE 140A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933023",
            "telephone_number": "478-923-2843",
            "fax_number": "478-975-6766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1118 Ga Highway 96",
            "address_purpose": "LOCATION",
            "city": "Kathleen",
            "state": "GA",
            "postal_code": "310472111",
            "country_code": "US",
            "telephone_number": "478-975-6890",
            "fax_number": "478-975-6895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 Ga Highway 127",
            "address_purpose": "LOCATION",
            "city": "Kathleen",
            "state": "GA",
            "postal_code": "310472828",
            "country_code": "US",
            "telephone_number": "478-975-6800",
            "fax_number": "478-975-6814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-04",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "010670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SIMS",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.