Individual provider Active NPI

Trickera T Sims, FNP-BC

  • Nurse Practitioner
  • Pooler, GA
National Provider Identifier
1932341682
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
226723 Issued in GA
Practice address
107 Canal St
Pooler, GA 31322-4016
Phone
(912) 450-1949
NPI assigned
Mar 26, 2009
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 226723 GA Primary

Addresses

Primary practice location

107 Canal St
Pooler, GA 31322-4016

Mailing address

2817 Reilly St
Womack Army Medical Center
Fort Bragg, NC 28310-7324
Phone (910) 907-8922

Other identifiers 1

IdentifierTypeStateIssuer
14877549958MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20241121001554 GA Practitioner - Nurse Practitioner 1850440041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

485 Canal Rd
Brunswick, GA 31525-6721
Phone (912) 264-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14019TNMDMassage Therapist
226723GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince May 30, 2025 Accepting new patients
Centerwell Senior Primary Care Ga PC CurrentSince Jun 24, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC CurrentSince Jun 24, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC Current Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Dec 26, 2024 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Dec 26, 2024 Accepting new patients
Applecare Memorial Immediate Care Joint Venture LLC CurrentSince Jun 9, 2025 Accepting new patients

Locations

485 Canal Rd
Brunswick, GA 31525
Phone (912) 264-9111

64 Oracal Pkwy
Bldg 1
Ellabell, GA 31308
Phone (912) 214-7920

590 Lanier Ave W
Fayetteville, GA 30214

780 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 332-7262

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

111 Colonial Way
Jesup, GA 31545
Phone (912) 427-8177

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945

105 Grand Central Blvd
Ste 108
Pooler, GA 31322
Phone (912) 748-1515

107 Canal St
Pooler, GA 31322
Phone (912) 450-1945

13314 Highway 144
Ste C
Richmond Hill, GA 31324
Phone (912) 910-2010

5621 Highway 21 S
Rincon, GA 31326
Phone (912) 295-5860

14089 Abercorn St
Savannah, GA 31419
Phone (912) 349-4945

1512 Bull St
Unit 6
Savannah, GA 31401
Phone (912) 200-6490

361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221

6085 Old National Hwy
Ste G
South Fulton, GA 30349
Phone (470) 754-6360

1096 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-5150

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: tsims@wrpt.directbygreenway.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1932341682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "address_2": "WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107324",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CANAL ST",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224016",
            "telephone_number": "912-450-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "TRICKERA",
        "middle_name": "T",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "226723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14877549958",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

Verify at the official NPI Registry.