James Thomas Simmons, OTC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

9191 RG Skinner Parkway
Suite 703
Jacksonville, FL 32256

Phone

(904) 230-2000

Fax

(904) 230-6000

NPI assigned

Sep 7, 2011

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)

Not enrolled

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.

• Young Orthopaedics & Sports Medicine, PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Jacksonville, FL
  • NPI 1629378005
  NPD (past)

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1902187727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 RG SKINNER PARKWAY",
            "address_2": "SUITE 703",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-230-2000",
            "fax_number": "904-230-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 RG SKINNER PARKWAY",
            "address_2": "SUITE 703",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-230-2000",
            "fax_number": "904-230-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "credential": "OTC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Sue Simmons, LMT
• Cornishia Tyrika Simmons, M.S.
• Crystal Tramaine Simmons, LPN
• Faith Simmons
• Henry Lee Simmons Jr.
• Joyce Carol Simmons
• Kiara Michelle Simmons
• Latonia Delores Simmons
• Linda Simmons, RN
• Mary Simmons

• Surgical Technologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Surgical Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.