Active NPI
Simmons T Copeland, N.P.
- Family Nurse Practitioner
- Gloster, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902626
- Practice address
- 434 North Captain Drive
Gloster, MS 39638-3401 - Phone
- (601) 225-4711
- Fax
- (601) 225-7861
- NPI assigned
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 902626 | MS | Primary |
Addresses
Primary practice location
434 North Captain Drive
Gloster, MS 39638-3401
Mailing address
434 North Captain Drive
Gloster, MS 39638-3401
Phone (601) 225-4711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181121001557 | MS | Practitioner - Nurse Practitioner | 2567716921 | Reassigns benefits to 11 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maxem Health Urgent Care McCombSouthwest Mississippi Regional Medical CenterMaxem Health Urgent Care FlowoodKings Daughters Medical CenterNatchez HB Medical Services LLC
Practice addresses (Care Compare)
101 Edgewood Dr
McComb, MS 39648-2043
Phone (601) 324-3244
215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500
2605 Courthouse Cir
Flowood, MS 39232-9521
Phone (228) 223-1927
427 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011
54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 443-2100
Hospital & facility affiliations
- Southwest Ms Regional Medical Center
- King'S Daughters Medical Center-Brookhaven
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902626 | MS | MD | Family Nurse Practitioner |
Practice roles
Locations
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011
434 N Captain Gloster Dr
Gloster, MS 39638
Phone (601) 225-4711
6101 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 909-6240
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
1529 Simpson Highway 49
Magee, MS 39111
Phone (601) 439-7288
215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180
101 Edgewood Dr
McComb, MS 39648
Phone (601) 324-3244
54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100
422 Memorial Blvd
Picayune, MS 39466
Phone (601) 749-0080
451 Bank St
Woodville, MS 39669
Phone (601) 888-3421
Interoperability endpoints
- simmons.copeland.3@1773.direct.athenahealth.com
- simmons.copeland.1@1773.direct.athenahealth.com
- simmons.copeland.2@1773.direct.athenahealth.com
- simmons.copeland.4@1773.direct.athenahealth.com
Organizations & group practices 28
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.
-
- Obstetrics & Gynecology Physician
- McComb, MS
- NPI 1982174488
MS
-
- Emergency Medicine Physician
- McComb, MS
- NPI 1477195972
MS
-
- Durable Medical Equipment & Medical Supplies
- Brookhaven, MS
- NPI 1881476364
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McComb, MS
- NPI 1407805971
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1659846129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 NORTH CAPTAIN DRIVE",
"city": "GLOSTER",
"state": "MS",
"postal_code": "396383401",
"telephone_number": "601-225-4711",
"fax_number": "601-225-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 NORTH CAPTAIN DRIVE",
"city": "GLOSTER",
"state": "MS",
"postal_code": "396383401",
"telephone_number": "601-225-4711",
"fax_number": "601-225-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "SIMMONS",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "902626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloster, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.