Deandre Omar Sims

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007452 Issued in GA

Practice address

100 Hamilton Pointe Dr Ste 115
Byron, GA 31008-6271

Phone

(478) 845-3520

NPI assigned

Feb 18, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Middle Georgia Family Rehab

  • Health Maintenance Organization
  • Byron, GA
  • NPI 1366844367
  NPD (past)

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1811520950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1552",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310081552",
            "telephone_number": "478-845-3520",
            "fax_number": "478-956-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAMILTON POINTE DR STE 115",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086271",
            "telephone_number": "478-845-3520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5021 Mercer University Dr Ste D2",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312106228",
            "country_code": "US",
            "telephone_number": "478-845-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "DEANDRE",
        "middle_name": "OMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meghna Sil
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• Jennifer Smith
• Jocelaine Smith
• Portia Smith, LPC, CRC
• Solvent LLC

• Occupational Therapist in Byron, GA
• Providers in Byron, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.