NPIMap

Freda Simmons, NP-C

Individual provider Active NPI Nurse Practitioner · Hayneville, AL

NPI 1922469980 · NPPES record last updated May 8, 2023

Key facts

NPI
1922469980
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
1-090610 (AL)
Practice address
511 E Tuskeena St
Hayneville, AL 36040-2666
Phone
(334) 548-2516
Fax
(334) 548-2521
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 14

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services Inc (30 clinicians)

Practice addresses (Care Compare)

3058 Mobile Hwy
Montgomery, AL 36108-4027
Phone (334) 293-6670

33 Salem Rd
Suite 2
Montevallo, AL 35115-3586
Phone (334) 420-5001

Hospital & facility affiliations

  • Jackson Hospital & Clinic Inc Hospital · Montgomery, AL · CCN 010024

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160419002041 AL Practitioner - Nurse Practitioner 1850699166 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services Inc Current
since Nov 19, 2022		 Accepting new patients
Health Services Inc Current Accepting new patients
Health Services, Inc. Current
since Nov 19, 2022		 Accepting new patients
Health Services Inc Current
since Nov 19, 2022		 Accepting new patients

Locations

203 N Taylor St
Autaugaville, AL 36003
Phone (334) 263-2301

107 Medical Center Dr
Clanton, AL 35045
Phone (205) 280-1478

511 E Tuskeena St
Hayneville, AL 36040
Phone (334) 548-2516

33 Salem Rd
#2
Montevallo, AL 35115

3058 Mobile Hwy
Montgomery, AL 36108
Phone (334) 293-6670

2611 Woodley Park Dr
Montgomery, AL 36116
Phone (334) 288-0009

Interoperability endpoints

  • Direct secure messaging: freda.simmons.1@14429.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-090610 AL Yes

Addresses

Primary practice location

511 E Tuskeena St
Hayneville, AL 36040-2666

Mailing address

PO Box 70365
Montgomery, AL 36107-0365
Phone (334) 420-5001

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 8, 2023.

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1922469980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70365",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361070365",
            "telephone_number": "334-420-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E TUSKEENA ST",
            "city": "HAYNEVILLE",
            "state": "AL",
            "postal_code": "360402666",
            "telephone_number": "334-548-2516",
            "fax_number": "334-548-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "FREDA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-090610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayneville, AL

All providers in Hayneville, AL · Nurse Practitioner in Alabama

Sources for this page

Verify at the official NPI Registry.