NPIMap

Individual provider Active NPI

Constance B Simons, FNP

  • Family Nurse Practitioner
  • Holly Hill, SC
National Provider Identifier
1740496165
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
944 Issued in SC
Practice address
187 Bunch Ford Road
Holly Hill, SC 29059
Phone
(803) 496-3312
Fax
(803) 496-7713
NPI assigned
May 15, 2007
Last updated
Dec 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 944 SC Primary

Addresses

Primary practice location

187 Bunch Ford Road
Holly Hill, SC 29059

Mailing address

PO Box 188
Holly Hill, SC 29059-0188
Phone (803) 496-3312

Other identifiers 1

IdentifierTypeStateIssuer
944OtherSCAPRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100216000664 SC Practitioner - Nurse Practitioner 5193869022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

185 Bunch Ford Rd
Holly Hill, SC 29059-8224
Phone (803) 496-1055

187 Bunch Ford Rd
Holly Hill, SC 29059-8224
Phone 803496331216

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
944SCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Edisto Regional Health Services Inc. Current Accepting new patients
Edisto Regional Health Services Inc. CurrentSince Dec 1, 2009 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Edisto Regional Health Services Inc CurrentSince Dec 1, 2009 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Edisto Regional Health Services Inc. Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

187 Bunch Ford Rd
Holly Hill, SC 29059
Phone (803) 395-3068

Interoperability endpoints

  • Direct secure messaging: csimons442717@direct.musc.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1740496165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "290590188",
            "telephone_number": "803-496-3312",
            "fax_number": "803-496-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 BUNCH FORD ROAD",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "29059",
            "telephone_number": "803-496-3312",
            "fax_number": "803-496-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "CONSTANCE",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "944",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Hill, SC

Sources for this page

Verify at the official NPI Registry.