Individual provider Active NPI

Simone Claire Ilia, DO

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1942829361
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5265 Issued in TN
Practice address
920 Madison Ave
Memphis, TN 38103-3438
Phone
(615) 396-6454
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5265 TN Primary

Addresses

Primary practice location

920 Madison Ave
Memphis, TN 38103-3438

Mailing address

1020 N Highland Ave
Murfreesboro, TN 37130-2494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830002313 TN Practitioner - Family Practice 1355704974 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

1020 N Highland
Murfreesboro, TN 37130
Phone (615) 396-6620

Hospital & facility affiliations

  • Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053
  • Ascension Saint Thomas Three Rivers Hospital, Waverly, TN, CCN 441303
  • Macon Community Hospital Hospital, Lafayette, TN, CCN 441305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5265TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Physicians PLLC CurrentSince Sep 21, 2023 Accepting new patients
Saint Thomas Medical Partners Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Concord Medical Group of Kentucky PLLC CurrentSince Jul 28, 2024 Accepting new patients
Concord Medical Group PLLC CurrentSince Sep 21, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Sep 21, 2023 Accepting new patients

Locations

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

1020 N Highland Ave
Ste A
Murfreesboro, TN 37130
Phone (615) 396-6620

1020 N Highland Ave
Murfreesboro, TN 37130
Phone (615) 396-6620

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: simone.ilia.1@7654.direct.athenahealth.com

Organizations & group practices 5

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1942829361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N HIGHLAND AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033438",
            "telephone_number": "615-396-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIA",
        "first_name": "SIMONE",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "5265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.