Individual provider Active NPI

Ellen Leigh Simmons

  • Physician Assistant
  • Mountain BRK, AL
National Provider Identifier
1952195331
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2591 Issued in AL
Practice address
32 Church St
Mountain BRK, AL 35213-3702
Phone
(205) 415-7536
NPI assigned
Apr 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2591 AL Primary

Addresses

Primary practice location

32 Church St
Mountain BRK, AL 35213-3702

Mailing address

4389 Galen CT
Vestavia, AL 35242-7467
Phone (205) 913-6371

Other practice location 1

391 Rele St
Mountain Brook, AL 35223-2950
Phone (205) 415-7536

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2591ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HGD, Inc CurrentSince Apr 13, 2025 Accepting new patients
HGD, Inc CurrentSince Apr 13, 2025 Accepting new patients

Locations

32 Church St
Mountain Brk, AL 35213
Phone (205) 276-0885

391 Rele St
Mountain Brook, AL 35223
Phone (205) 415-7536

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1952195331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4389 GALEN CT",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427467",
            "telephone_number": "205-913-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHURCH ST",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133702",
            "telephone_number": "205-415-7536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 Rele St",
            "address_purpose": "LOCATION",
            "city": "Mountain Brook",
            "state": "AL",
            "postal_code": "352232950",
            "country_code": "US",
            "telephone_number": "205-415-7536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ELLEN",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.