CAROL C SIMMONS (NPI# 1750397527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750397527 |
| Entity Type | Individual |
| Full Name | CAROL C SIMMONS |
| Credential | FNP |
| Practice Address |
452 Second St Soperton GA 30457-3004 |
| Mailing Address |
215 N Coleman St Swainsboro GA 30401-3530 |
| Practice Telephone | 9125295533 |
| Practice Fax Number | 9125295535 |
| Mailing Telephone | 4782372638 |
| Mailing Fax Number | 4782379138 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN069115 NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | UGS-REIDSVILLE | 111887 | 01 |
| GA | UGS-SOPERTON | 111889 | 01 |
| GA | UGS-SWAINSBORO | 111830 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043320880 | Carol Jean Simmons | Nurse Practitioner | 5941 N Central, Portland, OR 97203 | 2006-08-30 |
| 1659340057 | Carol Ivy Simmons | Social Worker | 7103 A Antock Place, Upper Marlboro, MD 20772 | 2006-03-16 |
| 1154641108 | Carol Benedict Simmons | Counselor | 102 Medical Park, Hattiesburg, MS 39401 | 2010-06-01 |
| 1245428796 | Carol B. Simmons | Counselor | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2007-10-10 |
| 1386667301 | Carol Ann-miskell Simmons | Internal Medicine | 405 W Greenlawn, Suite 230, Lansing, MI 48910 | 2006-07-25 |
| 1003892951 | Carol W Simmons | Nurse Practitioner | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2005-12-21 |
| Street Address |
452 SECOND ST |
| City | SOPERTON |
| State | GA |
| Zip Code | 30457-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700820917 | East Georgia Healthcare Center, Inc. | Clinic/Center | 452 Second St, Soperton, GA 30457-3004 | 2006-06-16 |
| 1992933329 | Elisha A Plaxico | Nurse Practitioner | 452 Second St, Soperton, GA 30457-3004 | 2009-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144431479 | David Lavon Moore | General Practice | 4101 Cascade Circle, Soperton, GA 30457 | 2007-05-25 |
| 1588654388 | Emanuel County Hospital Authority | Clinic/Center | 601 Third St, Soperton, GA 30457 | 2005-10-24 |
| 1942303557 | Ernest Wesley Crowe | Pharmacist | 112 W Main St, Soperton Pharmacy Inc, Soperton, GA 30457 | 2006-09-07 |
| 1689707150 | Community Service Board of Middle Georgia | Community/Behavioral Health | 417 Louisiana Ave E, Soperton, GA 30457-1126 | 2007-03-14 |
| 1457467219 | Joel Scott Bray | Family Medicine | 601 3rd St N, Soperton, GA 30457-1160 | 2006-08-22 |
| 1184738429 | John Louis Pournelle Jr. | Dentist | 607 3rd St N, Soperton, GA 30457-1160 | 2006-08-17 |
| 1558339838 | Soperton Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 112 Main St W, Soperton, GA 30457-1169 | 2006-03-10 |
| 1952441180 | Richard Marion Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-07 |
| 1215078969 | Adele Diane Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-08 |
| 1316088040 | Blakely Sutton Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-08 |
| Find all providers in zip 30457 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992933329 | Elisha A Plaxico | Nurse Practitioner | 452 Second St, Soperton, GA 30457-3004 | 2009-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CAROL C SIMMONS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.