NPIMap

Organization Active NPI

John C Simmons M.D.

  • Primary Care Clinic/Center
  • Linden, AL
National Provider Identifier
1851614721
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
16795 Issued in AL
Legal business name
JOHN C SIMMONS M.D.
Doing business as
John C Simmons M.D.
Practice address
100 E Cahaba Ave
Linden, AL 36748-1204
Phone
(334) 295-0170
Fax
(334) 295-2275
NPI assigned
Mar 8, 2010
Last updated
Sep 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Dr. John C Simmons, M.D.NPI 1104832724
Title
President
Phone
(334) 295-0170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 16795 AL Primary

Addresses

Primary practice location

100 E Cahaba Ave
Linden, AL 36748-1204

Mailing address

PO Box 480070
Linden, AL 36748-0070
Phone (334) 295-0170

Other identifiers 2

IdentifierTypeStateIssuer
511-03472OtherALBLUE CROSS BLUE SHIELD AL
117645MedicaidAL

Other names 1

  • John C Simmons M.D. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100618000075 AL Part B Supplier - Clinic/Group Practice 0446380422 Receives reassigned benefits from 1 practitioner
Practice locations: Linden, AL

National Provider Directory

National Provider Directory

Locations

100 E Cahaba Ave
Linden, AL 36748
Phone (334) 295-0170

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1851614721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480070",
            "city": "LINDEN",
            "state": "AL",
            "postal_code": "367480070",
            "telephone_number": "334-295-0170",
            "fax_number": "334-295-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CAHABA AVE",
            "city": "LINDEN",
            "state": "AL",
            "postal_code": "367481204",
            "telephone_number": "334-295-0170",
            "fax_number": "334-295-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C SIMMONS M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-295-0170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "16795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "511-03472",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117645",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John C Simmons M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Linden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.