Active NPI
Carla J Simmons, RN, BSN
- Psychiatric/Mental Health Registered Nurse
- Rome, GA
National Provider Identifier
1780817536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN135451
- Practice address
- 6 Mathis Dr NW
Rome, GA 30165-1242 - Phone
- (706) 295-6425
- Fax
- (706) 295-6478
- NPI assigned
- Aug 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN135451 | GA | Primary |
Addresses
Primary practice location
6 Mathis Dr NW
Rome, GA 30165-1242
Mailing address
1401 Applewood Dr
Dalton, GA 30720-2699
Phone (706) 270-5002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN135451 | GA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Rivers CSB | Past | Accepting new patients | |
| Highland Rivers CSB | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1205291085
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1487019253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448841600000",
"number": "1780817536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 APPLEWOOD DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202699",
"telephone_number": "706-270-5002",
"fax_number": "706-270-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MATHIS DR NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651242",
"telephone_number": "706-295-6425",
"fax_number": "706-295-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "CARLA",
"middle_name": "J",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-27",
"last_updated": "2015-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "GA",
"license": "RN135451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.