Organization Active NPI

Ajels

  • Psychiatric/Mental Health Nurse Practitioner
  • Raeford, NC
National Provider Identifier
1639978182
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AJELS
Practice address
208 Triple Crown Dr
Raeford, NC 28376-7118
Phone
(910) 709-4393
NPI assigned
Mar 10, 2025
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Danyelle Ridley Simmons, MSN, NP
Title
Pmhnp-BC
Phone
(910) 709-4393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

208 Triple Crown Dr
Raeford, NC 28376-7118

Mailing address

208 Triple Crown Dr
Raeford, NC 28376-7118
Phone (910) 709-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819000793 NC Part B Supplier - Clinic/Group Practice 8022517804 Receives reassigned benefits from 1 practitioner
Practice locations: Raeford, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1639978182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 TRIPLE CROWN DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767118",
            "telephone_number": "910-709-4393",
            "fax_number": "472-215-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 TRIPLE CROWN DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767118",
            "telephone_number": "910-709-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DANYELLE",
        "authorized_official_middle_name": "RIDLEY",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "910-709-4393",
        "authorized_official_credential": "MSN, NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.