Active NPI
Mark W Simpson, MD
- Pediatrics Physician
- Cary, NC
National Provider Identifier
1922048966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25747
- Practice address
- 1001 Crescent GRN
Cary, NC 27518-8101 - Phone
- (919) 235-3042
- Fax
- (919) 235-3094
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25747 | NC | Primary |
Addresses
Primary practice location
1001 Crescent GRN
Cary, NC 27518-8101
Mailing address
1001 Crescent GRN
Cary, NC 27518-8101
Phone (919) 467-3211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8968740 | Medicaid | NC |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25747 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1922048966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 CRESCENT GRN",
"city": "CARY",
"state": "NC",
"postal_code": "275188101",
"telephone_number": "919-467-3211",
"fax_number": "919-235-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CRESCENT GRN",
"city": "CARY",
"state": "NC",
"postal_code": "275188101",
"telephone_number": "919-235-3042",
"fax_number": "919-235-3094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "MARK",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "25747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8968740",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.