Individual provider Active NPI

Jill M Sims-Hill, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1699720284
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1971C Issued in AL
Practice address
1050 Crown Pointe Pkwy
Suite 450
Atlanta, GA 30338-7707
Phone
(866) 325-5434
Fax
(866) 325-5340
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1971C AL Primary

Addresses

Primary practice location

1050 Crown Pointe Pkwy
Suite 450
Atlanta, GA 30338-7707

Mailing address

21390 Michelle Dr
Lake View, AL 35111-1265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000903 AL Practitioner - Clinical Social Worker 5991985392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians

Practice addresses (Care Compare)

2500 River Haven Dr
Hoover, AL 35244-1226
Phone (910) 742-9243

6450 Old Tuscaloosa Hwy
MC Calla, AL 35111-3606
Phone (910) 742-9243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1934NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource of North Carolina Clinical CurrentSince Jan 25, 2017 Accepting new patients

Locations

1678 Montgomery Hwy
Ste 104
Hoover, AL 35216
Phone (205) 516-5129

1678 Montgomery Hwy
Hoover, AL 35216
Phone (205) 985-7393

2500 River Haven Dr
Hoover, AL 35244
Phone (205) 987-0901

1424 Montclair Rd
Irondale, AL 35210
Phone (205) 956-4150

6450 Old Tuscaloosa Hwy
Mc Calla, AL 35111
Phone (205) 477-6161

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1699720284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21390 MICHELLE DR",
            "city": "LAKE VIEW",
            "state": "AL",
            "postal_code": "351111265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CROWN POINTE PKWY",
            "address_2": "SUITE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387707",
            "telephone_number": "866-325-5434",
            "fax_number": "866-325-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS-HILL",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1971C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.