Organization Active NPI

H. David Simmons

  • Pediatrics Physician
  • Grenada, MS
National Provider Identifier
1609109560
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
11777 Issued in MS
Legal business name
H. DAVID SIMMONS
Practice address
340 Van Dorn St
Grenada, MS 38901-4738
Phone
(662) 226-0325
Fax
(662) 226-0327
NPI assigned
Sep 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Dr. Harold David Simmons, M.D.
Title
Owner
Phone
(662) 226-0325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 11777 MS Primary

Addresses

Primary practice location

340 Van Dorn St
Grenada, MS 38901-4738

Mailing address

340 Van Dorn St
Grenada, MS 38901-4738
Phone (662) 226-0325

Other identifiers 1

IdentifierTypeStateIssuer
04309383MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1609109560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 VAN DORN ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014738",
            "telephone_number": "662-226-0325",
            "fax_number": "662-226-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 VAN DORN ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014738",
            "telephone_number": "662-226-0325",
            "fax_number": "662-226-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. DAVID SIMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-226-0325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "11777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04309383",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.