Godfrey Samuel Simms, PT ASSISTANT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA001983 Issued in GA

Practice address

2729 Black Shoals Rd NE
Conyers, GA 30012-1901

Phone

(404) 455-4554

Fax

(770) 760-9767

NPI assigned

Feb 5, 2009

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Pacesetter PT Services, Inc

  • Physical Therapy Clinic/Center
  • Conyers, GA
  • NPI 1063749091
  NPD (past)

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1679712194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 BLACK SHOALS RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300121901",
            "telephone_number": "404-455-4554",
            "fax_number": "770-760-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 BLACK SHOALS RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300121901",
            "telephone_number": "404-455-4554",
            "fax_number": "770-760-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "GODFREY",
        "middle_name": "SAMUEL",
        "credential": "PT ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA001983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venande Simeus
• Heddie Jones Simmons, RN
• Jacqueline Lee Simmons
• Katharine Regina Simmons, PHYSICIAN ASSISTANT
• Kelsey Simmons, FNP-BC
• Sandra Patricia Simms, PHYSICAL THERAPIST
• Toni Simms, SOCIAL WORKER
• Simnet of Ga Inc
• Sasha Simpson
• Tiffany Nicole Simpson, PT, DPT

• Physical Therapy Assistant in Conyers, GA
• Providers in Conyers, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.