Individual provider Active NPI

Crystal E Sims, APRN-BC

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1780707166
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN145684 Issued in GA
Practice address
1086 A Baxter Street
Athens, GA 30606
Phone
(706) 353-0606
Fax
(706) 353-0798
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN145684 GA
Family Nurse Practitioner 363LF0000X RN145684 GA Primary

Addresses

Primary practice location

1086 A Baxter Street
Athens, GA 30606

Mailing address

3660 Howell Ferry Rd BLDG B
Duluth, GA 30096-3178
Phone (770) 670-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20181010002796 GA Practitioner - Nurse Practitioner 1254683717 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascend Medical Georgia II PCGroup PAC ID 0547657181, 16 clinicians
Ascend Medical Georgia PCGroup PAC ID 8820488745, 24 clinicians

Practice addresses (Care Compare)

3560 Lenox Rd NE
Suite 1230
Atlanta, GA 30326-4335
Phone (678) 500-8010

3660 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (888) 250-5708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN145684GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Biologics LLC CurrentSince Jul 16, 2024 Accepting new patients
Regional Healthcare Group LLC CurrentSince Jul 16, 2024 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Mar 22, 2020 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Mar 22, 2020 Accepting new patients
Peachtree Hospice of Georgia, LLC CurrentSince Jul 24, 2018 Accepting new patients
Ascend Medical Georgia PC CurrentSince Jun 9, 2025 Accepting new patients
Ascend Medical Georgia II PC CurrentSince Jun 9, 2025 Accepting new patients
Mobile Wound Care Solutions LLC CurrentSince Feb 9, 2025 Accepting new patients
Privia Pediatric Medical Group of Georgia LLC Current Accepting new patients
Peachtree Hospice of Georgia, LLC PastSince Sep 28, 2021 Accepting new patients

Locations

135 Gemini Cir
Ste 202
Birmingham, AL 35209
Phone (205) 949-0400

3560 Lenox Rd NE
Ste 1230
Atlanta, GA 30326
Phone (678) 500-8010

619 Rankin St NE
Atlanta, GA 30308
Phone (404) 874-3102

3660 Howell Ferry Rd
Duluth, GA 30096
Phone (770) 363-7013

3660 Howell Ferry Rd
#B
Duluth, GA 30096
Phone (770) 596-9144

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

200 Business Center Dr
Ste 204
Stockbridge, GA 30281
Phone (678) 583-2269

1233 Eagles Landing Pkwy
Ste Ab
Stockbridge, GA 30281
Phone (404) 480-3842

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: csims@athensneuro.gwaydirect.com
  • Direct secure messaging: crystal.sims.1@30437.direct.athenahealth.com

Organizations & group practices 10

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1780707166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 HOWELL FERRY RD BLDG B",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963178",
            "telephone_number": "770-670-4640",
            "fax_number": "770-670-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 A BAXTER STREET",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-353-0606",
            "fax_number": "706-353-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "CRYSTAL",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN145684",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN145684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.