Individual provider Active NPI

Charles Gregory Sims, PHD

  • Psychologist
  • Asheville, NC
National Provider Identifier
1659449825
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
NC1297 Issued in NC
Practice address
80 Peachtree Rd
Suite 104
Asheville, NC 28803-3156
Phone
(828) 274-8035
Fax
(828) 274-6906
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NC1297 NC Primary

Addresses

Primary practice location

80 Peachtree Rd
Suite 104
Asheville, NC 28803-3156

Mailing address

80 Peachtree Rd
Suite 104
Asheville, NC 28803-3156
Phone (828) 274-8035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NC1297NCMDPsychologist
1298NCMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659449825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PEACHTREE RD",
            "address_2": "SUITE 104",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033156",
            "telephone_number": "828-274-8035",
            "fax_number": "828-274-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PEACHTREE RD",
            "address_2": "SUITE 104",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033156",
            "telephone_number": "828-274-8035",
            "fax_number": "828-274-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "CHARLES",
        "middle_name": "GREGORY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "NC1297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.