Kaylee Anne Simmons, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

35 Lyman Lake Rd
Lyman, SC 29365-9539

Phone

(907) 315-2388

NPI assigned

Dec 6, 2022

Last updated

May 8, 2023By the provider in NPPES

Sex

Female

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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Carolinas Emergency Physicians, P.a.

  • Emergency Medicine Physician
  • Kings Mountain, NC
  • NPI 1285952671
  Medicare reassignment

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1912618448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LYMAN LAKE RD",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293659539",
            "telephone_number": "907-315-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 LYMAN LAKE RD",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293659539",
            "telephone_number": "907-315-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KAYLEE",
        "middle_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Prime, DC
• Kaci Michelle Rainey, CPHT
• Parris Renee, DC
• Roads to Resiliency, LLC
• Lauren Silver, NP-C
• Timothy Addison Sloan, PHARMD
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #07505)
• Cathy Ford Sparks, LPC LMFT
• Spartanburg Medical Center (Middle Tyger Community Clinic)
• Kristen Elizabeth Steidinger, DC

• Physician Assistant in Lyman, SC
• Providers in Lyman, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.