Kris Alllison Manlove-Simmons, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

057748 Issued in GA

Practice address

4367 New Snapfinger Woods Dr
Decatur, GA 30035-2920

Phone

(770) 981-2008

Fax

(770) 981-6302

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Family Practice

Education

Wayne State University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment Care Compare group NPD
• Georgia Clinic, PC

  • Multi-Specialty Clinic/Center
  • Dunwoody, GA
  • NPI 1609816123

  Family Medicine

  Medicare reassignment NPD
• Park Central Family Practice, Inc.

  • Family Medicine Physician
  • Decatur, GA
  • NPI 1922104306
  Medicare reassignment NPD
• Peachtree Immediate Care UC, LLC

  • Urgent Care Clinic/Center
  • Decatur, GA
  • NPI 1235573841
  NPD (past)
• To Your Health Medical & Fitness, PC

  • Physical Medicine & Rehabilitation Physician
  • Tucker, GA
  • NPI 1679529127
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1649369422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 SHUMART DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398547",
            "telephone_number": "770-736-3069",
            "fax_number": "770-981-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 NEW SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352920",
            "telephone_number": "770-981-2008",
            "fax_number": "770-981-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLOVE-SIMMONS",
        "first_name": "KRIS",
        "middle_name": "ALLLISON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "057748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "057748",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalind M Mance, M.D, MBBS
• Lisa Dawn Mandeville, M.D.
• Tiffany Mangal, MD
• Pamela Manior-Jackson
• Nicole Manjin, LCSW
• Joshua Joseph Mann, D.P.M.
• Patrice Mann, MD
• Loretta Nancy Manning, LPC
• Manor Care Rehabilitation Center of Decatur Ga, LLC
• Nicole Mantella, PSYD

• Family Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.