Individual provider Active NPI

Alyssa Lott Simmons, FNP-C

  • Family Nurse Practitioner
  • Mound Bayou, MS
National Provider Identifier
1831523620
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R886545 Issued in MS
Practice address
702 Martin Luther King St
Mound Bayou, MS 38762-9314
Phone
(662) 741-2151
Fax
(662) 741-2700
NPI assigned
Aug 28, 2013
Last updated
Aug 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R886545 MS Primary

Addresses

Primary practice location

702 Martin Luther King St
Mound Bayou, MS 38762-9314

Mailing address

PO Box 900
Mound Bayou, MS 38762-0900
Phone (662) 741-2151

Other names 1

  • Alyssa Kathryn Lott Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20140320001823 MS Practitioner - Nurse Practitioner 8426289281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Health Center, Inc.Group PAC ID 6608783295, 16 clinicians

Practice addresses (Care Compare)

702 Martin Luther King St
Mound Bayou, MS 38762-9314
Phone (662) 741-8871

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R886545MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Health Center, Inc CurrentSince Oct 19, 2022 Accepting new patients
Delta Health Center, Inc. PastSince Dec 30, 2013 Accepting new patients
Delta Health Center, Inc. Past Accepting new patients

Locations

404 Jefferson St
Indianola, MS 38751
Phone (662) 884-1250

702 Mlk St
Mound Bayou, MS 38762
Phone (662) 741-2151

Interoperability endpoints

  • Direct secure messaging: alyssa.simmons.p1@direct.deltahc.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1831523620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387620900",
            "telephone_number": "662-741-2151",
            "fax_number": "662-741-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 MARTIN LUTHER KING ST",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387629314",
            "telephone_number": "662-741-2151",
            "fax_number": "662-741-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ALYSSA",
        "middle_name": "LOTT",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R886545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "LOTT",
            "middle_name": "KATHRYN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mound Bayou, MS

Sources for this page

Verify at the official NPI Registry.