Individual provider Active NPI

Elizabeth A. Simpson, PA-C

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1770732166
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.595 Issued in AL
Practice address
580 Providence Park Dr E FL 2
Mobile, AL 36695
Phone
(251) 631-3570
Fax
(251) 631-3572
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.595 AL Primary

Addresses

Primary practice location

580 Providence Park Dr E FL 2
Mobile, AL 36695

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

8573 County Road 64
Daphne, AL 36526-8706
Phone (251) 621-2244

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ES4933@forefrontdermatology.emadirect.md
Direct Messaging Address ES4933@forefrontdermatology.emadirect.md

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081003000438 AL Practitioner - Physician Assistant 0749358737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

580 Providence Park Dr E
Mobile, AL 36695-4614
Phone (251) 631-3570

8573 County Rd
Suite 64
Daphne, AL 36526-8706
Phone (251) 621-2244

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Providence Healthcare Services CurrentSince Jan 1, 2018 Accepting new patients
Forefront Dermatology, S.C. CurrentSince May 1, 2019 Accepting new patients
Forefront Dermatology, S.C. CurrentSince May 1, 2019 Accepting new patients
Alabama Providence Healthcare Services CurrentSince Jan 1, 2018 Accepting new patients
Providence Healthcare Services Current Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Cardiology Associates of Mobile Inc Past Accepting new patients

Locations

8573 County Road 64
Daphne, AL 36526
Phone (251) 621-2244

580 Providence Park Dr E
Fl 2
Mobile, AL 36695
Phone (251) 631-3570

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

580 Providence Park Dr E
Mobile, AL 36695
Phone (251) 631-3570

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: es4933@forefrontdermatology.emadirect.md
  • Direct secure messaging: elizabeth.simpson.1@9582.direct.athenahealth.com

Organizations & group practices 8

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1770732166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PROVIDENCE PARK DR E FL 2",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "251-631-3570",
            "fax_number": "251-631-3572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8573 County Road 64",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365268706",
            "country_code": "US",
            "telephone_number": "251-621-2244",
            "fax_number": "251-621-7209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ES4933@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8573 County Road 64",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365268706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ES4933@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "580 Providence Park Dr E Fl 2",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.