Kevin Simmons

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PCET003555 Issued in GA

Practice address

5000 Research CT Ste 450
Suwanee, GA 30024-6660

Phone

(770) 205-5551

NPI assigned

Jun 3, 2022

Last updated

Jun 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidztherapy Networks Inc

  • Pediatric Occupational Therapist
  • Cumming, GA
  • NPI 1700913522

  Speech-Language Pathologist

  NPD (past)
• Sonant Therapy Group LLC

  dba Sweet Talkers

  • Speech-Language Pathologist
  • Alpharetta, GA
  • NPI 1992415764
  NPD (past)

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1902545114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 RESEARCH CT STE 450",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 RESEARCH CT STE 450",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246660",
            "telephone_number": "770-205-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET003555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Dougherty Shurley, D.D.S.
• Mary Siatkowski, OTR,L
• Ryan Jon Siegmund, D.C.
• Jordan Signorelli
• Silver Health Services, Inc
• Andrea D Sims, M.ED., L.P.C.
• Ravi Kumar R Singareddy, MD
• Akriti Singh
• Skinnylabb LLC
• Skylark Adh-Johns Creek, LLC (Skylark Adult Day Center of Johns Creek)

• Speech-Language Pathologist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.