Individual provider Active NPI

Telisha Abney Sims, NP-C

  • Gerontology Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1801207030
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-088455 Issued in AL
Practice address
11 N Water St
10TH Floor
Mobile, AL 36602-3809
Phone
(362) 341-2870
Fax
(362) 341-2870
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-088455 AL Primary

Addresses

Primary practice location

11 N Water St
10TH Floor
Mobile, AL 36602-3809

Mailing address

333 Commerce St
Ste. 700
Nashville, TN 37201-1826
Phone (615) 913-5086

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
I20140730001992 AL Practitioner - Nurse Practitioner 2365668175 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-088455ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Feb 24, 2025 Accepting new patients
NM Pacs 2 LLC CurrentSince Feb 24, 2025 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Feb 19, 2018 Accepting new patients
Alabama Post-Acute Medical Service 1 PC CurrentSince Feb 24, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 1, 2014 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Feb 19, 2018 Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Locations

1555 Hillabee St
Alexander City, AL 35010
Phone (256) 329-0847

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

2431 W Main St
Ste 1102
Dothan, AL 36301
Phone (334) 699-5780

280 Mt Hebron Rd
Elmore, AL 36025
Phone (334) 265-7585

2800 Dauphin St
Ste 103
Mobile, AL 36606
Phone (251) 478-2789

1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485

857 Crawford Ln
Prichard, AL 36617
Phone (251) 433-9801

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": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1801207030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST",
            "address_2": "STE. 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011826",
            "telephone_number": "615-913-5086",
            "fax_number": "888-494-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N WATER ST",
            "address_2": "10TH FLOOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366023809",
            "telephone_number": "362-341-2870",
            "fax_number": "362-341-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "TELISHA",
        "middle_name": "ABNEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-088455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.