Organization Active NPI

Simply Healthcare PLLC

  • Gerontology Nurse Practitioner
  • Oxford, NC
National Provider Identifier
1780456640
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
SIMPLY HEALTHCARE PLLC
Practice address
615 Lewis St Ste 200C
Oxford, NC 27565-3693
Phone
(919) 482-6553
NPI assigned
Oct 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Kelly GentryNPI 1285008235
Title
Ceo
Phone
(919) 482-6553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

615 Lewis St Ste 200C
Oxford, NC 27565-3693

Mailing address

615 Lewis St Ste 200C
Oxford, NC 27565-3693
Phone (919) 482-6553

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2298107Simply Healthcare PLLC615 Lewis St Suite 200-C, Oxford, NC 27565Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory

Locations

615 Lewis St
Ste 200C
Oxford, NC 27565
Phone (919) 482-6553

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1780456640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LEWIS ST STE 200C",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653693",
            "telephone_number": "919-482-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LEWIS ST STE 200C",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653693",
            "telephone_number": "919-482-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-482-6553"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.