Active NPI
Sandra J. Sims, DNP
- Family Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1912203142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F4438
- Practice address
- 4901 Chesapeake Dr
Charlotte, NC 28216-2905 - Phone
- (980) 321-3337
- Fax
- (855) 870-5752
- NPI assigned
- Feb 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F4438 | SC | Primary |
Addresses
Primary practice location
4901 Chesapeake Dr
Charlotte, NC 28216-2905
Mailing address
4901 Chesapeake Dr.
Charlotte, NC 28216
Phone (980) 321-3337
Other names 1
- Sandra J. Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F4438 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthstat Inc Coca Cola Charlotte | Current | Accepting new patients |
Locations
4901 Chesapeake Dr
Charlotte, NC 28216
Phone (980) 321-3337
Interoperability endpoints
- sandra.sims.1@14940.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Charlotte, NC
- NPI 1073124673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1912203142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 CHESAPEAKE DR.",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28216",
"telephone_number": "980-321-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 CHESAPEAKE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282162905",
"telephone_number": "980-321-3337",
"fax_number": "855-870-5752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "SANDRA",
"middle_name": "J.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-05",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "F4438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "SMITH",
"middle_name": "J.",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.