Skyler Brooke Simons, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN016090 Issued in GA

Practice address

138 Oakland Pkwy
Leesburg, GA 31763-7200

Phone

(229) 432-2213

NPI assigned

Jul 6, 2020

Last updated

Jul 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1669099784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 AUGUSTUS DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317638207",
            "telephone_number": "229-376-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 OAKLAND PKWY",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317637200",
            "telephone_number": "229-432-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "SKYLER",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN016090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cher Renee Shell
• Juliette Edwina Shield
• Autumn Rachel Shirley, RBT
• Heather Shivers
• Anna Narie Simica-Fazendin, RN,MSN, FNP-C
• Derrick Smith
• Kristie Jo Smith, MSN, RN, FNP
• Patrick L Smith, LPC
• Sarah Smith
• Tabitha Smith, MSW

• Dentist in Leesburg, GA
• Providers in Leesburg, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.