Lee A Simmons, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0000001796 Issued in TN

Practice address

112 Hotel Rd
Knoxville, TN 37918-3224

Phone

(865) 689-4500

Fax

(865) 689-7320

NPI assigned

Jun 30, 2006

Last updated

Apr 2, 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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete Family Care of Knoxville PLLC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1760524029
  NPD
• WM Kevin Bailey MD PC

  • Physical Medicine & Rehabilitation Physician
  • Knoxville, TN
  • NPI 1124311121
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1689603144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HOTEL RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379183224",
            "telephone_number": "865-689-4500",
            "fax_number": "865-689-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HOTEL RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379183224",
            "telephone_number": "865-689-4500",
            "fax_number": "865-689-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LEE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA0000001796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarke Vera Boards Simmons, PTA
• Cynthia E. Simmons, PA
• Hannah Simmons
• Jean Nicole Simmons, NP
• John Douglas Simmons, M.D.
• Marissa Danielle Simmons
• Mickenzie Simmons, M.A.
• Rachel Camille Simmons
• Reynald T. Simmons, M.D.
• Toni Lee Simmons, PTA

• Medical Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.