Individual provider Active NPI

Samantha H Simmons, NP

  • Family Nurse Practitioner
  • Robertsdale, AL
National Provider Identifier
1609140540
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-116154 Issued in AL
Practice address
21141 State Highway 59 Ste 1
Robertsdale, AL 36567-6751
Phone
(251) 626-3782
Fax
(251) 626-0782
NPI assigned
Feb 23, 2012
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-116154 AL Primary
Nurse Practitioner 363L00000X 1-116154 AL

Addresses

Primary practice location

21141 State Highway 59 Ste 1
Robertsdale, AL 36567-6751

Mailing address

21141 State Highway 59 Ste 1
Robertsdale, AL 36567-6751
Phone (251) 424-1160

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address samantha.simmons.1@1599.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120425000848 AL Practitioner - Nurse Practitioner 2769644418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foley Clinic Corp.Group PAC ID 5193741759, 86 clinicians

Practice addresses (Care Compare)

21141 State Hwy 59
Suite 1
Robertsdale, AL 36567-6751
Phone (251) 424-1160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-116154ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foley Clinic Corp CurrentSince Jan 1, 2022 Accepting new patients
Foley Clinic Corp CurrentSince Jan 1, 2022 Accepting new patients
Eastern Shore Urgent Care LLC Nurse Practitioner PastSince Mar 9, 2012 Accepting new patients

Locations

161 W Peachtree Ave
Foley, AL 36535
Phone (251) 943-5511

101 E 15th Ave
Gulf Shores, AL 36542
Phone (251) 962-1250

21141 State Highway 59
Ste 1
Robertsdale, AL 36567
Phone (251) 424-1160

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4
  • Direct secure messaging: samantha.simmons.1@1599.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1609140540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21141 STATE HIGHWAY 59 STE 1",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365676751",
            "telephone_number": "251-424-1160",
            "fax_number": "251-424-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21141 STATE HIGHWAY 59 STE 1",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365676751",
            "telephone_number": "251-626-3782",
            "fax_number": "251-626-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SAMANTHA",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-116154",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-116154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.simmons.1@1599.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "21141 State Highway 59 Ste 1",
            "city": "Robertsdale",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365676751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Robertsdale, AL

Sources for this page

Verify at the official NPI Registry.